{"id":16639,"date":"2020-04-29T02:50:08","date_gmt":"2020-04-29T05:50:08","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/patologia-del-liquen-escleroso\/"},"modified":"2020-05-03T15:38:39","modified_gmt":"2020-05-03T18:38:39","slug":"pathologie-du-lichen-sclereux","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/fr\/wiki\/patologia-del-liquen-escleroso\/","title":{"rendered":"Pathologie du scl\u00e9rose du lichen"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 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\/patologia-del-liquen-escleroso\/#Histologia-de-liquen-escleroso\" >Histologie du lichen scl\u00e9reux<\/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\/patologia-del-liquen-escleroso\/#Patologia-del-liquen-escleroso\" >Pathologie du scl\u00e9rose du lichen<\/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\/patologia-del-liquen-escleroso\/#Diagnostico-diferencial-de-liquen-escleroso-patologia\" >Diagnostic diff\u00e9rentiel de la pathologie du lichen scl\u00e9reux<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-liquen-escleroso\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histologie<\/span> lichen scl\u00e9ro-atrophique<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Le pouvoir de balayage du lichen scl\u00e9reux r\u00e9v\u00e8le un <span class=\"term\" data-term-id=\"168\">lich\u00e9no\u00efde<\/span> <span class=\"term\" data-term-id=\"490\">inflammatoire<\/span> mod\u00e8le dans les l\u00e9sions de stade pr\u00e9coce ou un processus scl\u00e9rosant superficiel dans les l\u00e9sions de stade avanc\u00e9 (figures 1 et 2). Les <span class=\"term\" data-term-id=\"85\">\u00e9piderme<\/span> spectacles <span class=\"term\" data-term-id=\"610\">hyperk\u00e9ratose<\/span>, perte de poids significative avec perte de la normale <span class=\"term\" data-term-id=\"819\">d\u00e9fi<\/span> motif de cr\u00eate et colmatage <span class=\"term\" data-term-id=\"107\">folliculaire<\/span> infundibulae (figure 3). UNE <span class=\"term\" data-term-id=\"809\">atrophique<\/span> l&#039;\u00e9piderme n&#039;est pas une exigence puisque certains cas en particulier <span class=\"term\" data-term-id=\"1004\">vulve<\/span> peut montrer significatif <span class=\"term\" data-term-id=\"846\">\u00e9pidermique<\/span> <span class=\"term\" data-term-id=\"136\">hyperplasie<\/span>. <span class=\"term\" data-term-id=\"294\">Vacuolar<\/span> d\u00e9g\u00e9n\u00e9rescence de <span class=\"term\" data-term-id=\"20\"><span class=\"term\" data-term-id=\"831\">basal<\/span> casquette<\/span> peuvent \u00eatre observ\u00e9s, bien que g\u00e9n\u00e9ralement l\u00e9gers, en particulier dans les l\u00e9sions de stade avanc\u00e9. <span class=\"term\" data-term-id=\"1834\">Fendu<\/span> peut \u00eatre \u00e9vidente entre l&#039;\u00e9piderme et <span class=\"term\" data-term-id=\"61\">derme<\/span> \u00e0 la suite de cette d\u00e9g\u00e9n\u00e9rescence de la couche basale et du sous-jacent <span class=\"term\" data-term-id=\"52\">dermique<\/span> changements La caract\u00e9ristique dominante est la condensation \u00e9tendue du derme. <span class=\"term\" data-term-id=\"39\">collag\u00e8ne<\/span>. Ces changements sont g\u00e9n\u00e9ralement superficiels, alors que dans les l\u00e9sions pr\u00e9coces, ils peuvent montrer une peau papillaire sus-jacente marqu\u00e9e <span class=\"term\" data-term-id=\"201\">\u0153d\u00e8me<\/span>. Lorsqu&#039;elle s&#039;\u00e9tend dans le derme profond, la discrimination de <span class=\"term\" data-term-id=\"978\">scl\u00e9rodermie<\/span> Cela peut devenir difficile. L&#039;inflammatoire <span class=\"term\" data-term-id=\"541\">infiltrer<\/span> \u00e9volue \u00e0 partir d&#039;un lich\u00e9no\u00efde dense <span class=\"term\" data-term-id=\"422\">lymphocytaire<\/span> infiltrer une surface peu profonde <span class=\"term\" data-term-id=\"750\">interstitiel<\/span> s&#039;infiltrer au stade avanc\u00e9 de la maladie. \u00c9pars <span class=\"term\" data-term-id=\"1513\">plasma<\/span> cellules, <span class=\"term\" data-term-id=\"858\">histiocytes<\/span> et <span class=\"term\" data-term-id=\"582\">mastocytes<\/span> peut \u00eatre vu (Figure 4).<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Patologia-del-liquen-escleroso\"><\/span>Pathologie du scl\u00e9rose du lichen<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='lichenscl\u00e9reuxfigure1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildq5xq-3713287-6271591' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lichensclerosusfigure1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDQ5XQ-3713287.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lichensclerosusfigure2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2906569-4001904' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lichensclerosusfigure2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2906569.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lichenscl\u00e9rosefigure3__prot\u00e9gerwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2765949-7039250' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lichensclerosusfigure3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2765949.jpg'>\n<\/div>\n<p class=\"p-small\">figure 3<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lichenscl\u00e9reuxfigure4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3422724-9226997' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lichensclerosusfigure4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3422724.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=\"Diagnostico-diferencial-de-liquen-escleroso-patologia\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Diagnostic diff\u00e9rentiel<\/span> lichen scl\u00e9ro-atrophique <span class=\"term\" data-term-id=\"223\">pathologie<\/span><br \/>\n<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Scl\u00e9rodermie: Dans cette condition, l&#039;\u00e9piderme sus-jacent et le derme superficiel sont pr\u00e9serv\u00e9s. L&#039;infiltrat inflammatoire est g\u00e9n\u00e9ralement maigre et profond <span class=\"term\" data-term-id=\"1827\">attach\u00e9<\/span> et <span class=\"term\" data-term-id=\"753\">vasculaire<\/span> Le chevauchement des structures peut se produire l\u00e0 o\u00f9 coexistent des changements profonds et superficiels.<\/p>\n<p>Lichen planus: la pr\u00e9sence d&#039;un bien form\u00e9 <span class=\"term\" data-term-id=\"111\">couche granuleuse<\/span> et de nombreux corps cyto\u00efdes, et un manque d&#039;\u00e9paississement de la membrane basale ou \u00e9pidermique <span class=\"term\" data-term-id=\"18\">atrophie<\/span> pr\u00e9f\u00e9rez le lichen plan au lichen scl\u00e9reux.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Histolog\u00eda de liquen escleroso El poder de escaneo del liquen escleroso revela un liquenoide inflamatorio patr\u00f3n en lesiones en etapa temprana o un proceso esclerosante superficial en lesiones en etapa&#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":[205],"class_list":["post-16639","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/16639","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=16639"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/16639\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/media?parent=16639"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/categories?post=16639"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/tags?post=16639"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}