{"id":16637,"date":"2020-04-29T02:40:34","date_gmt":"2020-04-29T05:40:34","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/liquen-plano-patologico\/"},"modified":"2020-05-03T15:37:35","modified_gmt":"2020-05-03T18:37:35","slug":"lichen-plan-pathologique","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/fr\/wiki\/liquen-plano-patologico\/","title":{"rendered":"Lichen plan pathologique"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contenu<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Basculer la table des mati\u00e8res\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Basculer<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/liquen-plano-patologico\/#Histologia-de-liquen-plano\" >Histologie du lichen plan<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/liquen-plano-patologico\/#Liquen-plano-patologico\" >Lichen plan pathologique<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/liquen-plano-patologico\/#Manchas-especiales-en-liquen-plano\" >Taches sp\u00e9ciales sur le lichen plan<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/liquen-plano-patologico\/#Diagnostico-diferencial-de-liquen-plano\" >Diagnostic diff\u00e9rentiel du lichen plan<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-liquen-plano\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histologie<\/span> lichen plan<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La vue de la puissance de balayage du lichen plan montre une <span class=\"term\" data-term-id=\"168\">lich\u00e9no\u00efde<\/span> mod\u00e8le de r\u00e9action (figure 1) caract\u00e9ris\u00e9 par la combinaison de la d\u00e9g\u00e9n\u00e9rescence de la <span class=\"term\" data-term-id=\"20\"><span class=\"term\" data-term-id=\"831\">basal<\/span> casquette<\/span> du <span class=\"term\" data-term-id=\"85\">\u00e9piderme<\/span> et un groupe comme <span class=\"term\" data-term-id=\"422\">lymphocytaire<\/span> <span class=\"term\" data-term-id=\"541\">infiltrer<\/span> obscurcissant la jonction dermo-\u00e9pidermique. Il y a des irr\u00e9gularit\u00e9s <span class=\"term\" data-term-id=\"846\">\u00e9pidermique<\/span> <span class=\"term\" data-term-id=\"136\">hyperplasie<\/span> formant un aspect caract\u00e9ristique en forme de coin en dents de scie <span class=\"term\" data-term-id=\"133\">hypergranulose<\/span> (Figures 1 et 2). La couche basale de l&#039;\u00e9piderme pr\u00e9sente <span class=\"term\" data-term-id=\"294\">vacuoler<\/span> d\u00e9g\u00e9n\u00e9rescence avec g\u00e9n\u00e9ralement en \u00e9vidence <span class=\"term\" data-term-id=\"403\">n\u00e9crose<\/span> de l&#039;individu <span class=\"term\" data-term-id=\"1069\">k\u00e9ratinocytes<\/span> (Figure 3). Les <span class=\"term\" data-term-id=\"490\">inflammatoire<\/span> l&#039;infiltrat est principalement lymphocytaire et forme une bande dense \u00e0 la surface <span class=\"term\" data-term-id=\"61\">derme<\/span> (Figure 4).<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Liquen-plano-patologico\"><\/span>Lichen plan pathologique<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lichenplanfigure1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1734100-6743169' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lichenplanfigure1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1734100.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lichenplanfigure2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5302258-7991622' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lichenplanfigure2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5302258.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lichenplanfigure3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9371028-6831931' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lichenplanfigure3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9371028.jpg'>\n<\/div>\n<p class=\"p-small\">figure 3<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lichenplanfigure4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1945795-8233668' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lichenplanfigure4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1945795.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 4<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Manchas-especiales-en-liquen-plano\"><\/span>Taches sp\u00e9ciales sur le lichen plan<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>En direct <span class=\"term\" data-term-id=\"142\">immunofluorescence<\/span> en lichen plan, poilu <span class=\"term\" data-term-id=\"321\">lin\u00e9aire<\/span> la membrane basale et la coloration du corps collo\u00efdal peuvent \u00eatre vues avec <span class=\"term\" data-term-id=\"851\">fibrinog\u00e8ne<\/span>.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Diagnostico-diferencial-de-liquen-plano\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Diagnostic diff\u00e9rentiel<\/span> lichen plan<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Lich\u00e9no\u00efde <span class=\"term\" data-term-id=\"1595\">k\u00e9ratose<\/span>: Les r\u00e9sultats histologiques de la k\u00e9ratose lich\u00e9no\u00efde (\u00e9galement appel\u00e9e k\u00e9ratose du lichen plan) ne sont pas largement discriminatoires et la distinction d\u00e9pend du contexte clinique. La pr\u00e9sence de <span class=\"term\" data-term-id=\"218\">parak\u00e9ratose<\/span> et un infiltrat qui contient un plus grand nombre de <span class=\"term\" data-term-id=\"448\">\u00e9osinophiles<\/span> et <span class=\"term\" data-term-id=\"196\"><span class=\"term\" data-term-id=\"442\">neutrophiles<\/span><\/span>  peut distinguer cela <span class=\"term\" data-term-id=\"164\">blessure<\/span> du lichen plan typique. Alors qu&#039;un plus grand nombre de <span class=\"term\" data-term-id=\"162\">Cellules de Langerhans<\/span> vu dans le lichen plan, un nombre absolu ne peut pas discriminer entre ces entit\u00e9s.<\/p>\n<p>K\u00e9ratose lich\u00e9no\u00efde chronique: en plus de contenir \u00e9galement de nombreux <span class=\"term\" data-term-id=\"770\">n\u00e9crotique<\/span> K\u00e9ratinocytes L&#039;\u00e9piderme de la k\u00e9ratose lich\u00e9no\u00efde chronique montre une parak\u00e9ratose contenant des neutrophiles. La corr\u00e9lation clinique est essentielle.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Histolog\u00eda de liquen plano La vista del poder de escaneo del liquen plano muestra un liquenoide patr\u00f3n de reacci\u00f3n (Figura 1) caracterizado por la combinaci\u00f3n de degeneraci\u00f3n de la basal&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-16637","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/16637","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/comments?post=16637"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/16637\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/media?parent=16637"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/categories?post=16637"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/tags?post=16637"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}