JAAD:与黑素瘤相关的白斑病易被误诊为白癜风

2016-10-25 MedSci MedSci原创

根据最近发表在Journal of the American Academy of Dermatology的研究结果,专家经常将与黑素瘤相关的白斑病误诊为白癜风。研究人员进行了一项研究,纳入11例与黑素瘤相关的白斑病(MAL)患者,以及33例白癜风患者。四位专家在现场对患者的照片进行双盲对照比较,其次是患者的医疗史。MAL患者的误诊率为72.7%,专家诊断80%的案例为典型的白癜风。MAL患者的白

根据最近发表在Journal of the American Academy of Dermatology的研究结果,专家经常将与黑素瘤相关的白斑病误诊为白癜风。

研究人员进行了一项研究,纳入11例与黑素瘤相关的白斑病(MAL)患者,以及33例白癜风患者。四位专家在现场对患者的照片进行双盲对照比较,其次是患者的医疗史。

MAL患者的误诊率为72.7%,专家诊断80%的案例为典型的白癜风。MAL患者的白斑病发病年龄更高(55岁; P = .001)。

MAL诊断的平均阳性预测值为56.4%,阴性预测值为79.5%。3名专家对白癜风诊断的正确性高于MAL诊断(P < .05)。

观察者并没有发现MAL和白癜风的临床表现上的显着差异。

“这项研究的结果表明,即使是该领域的专家,也不能清楚地区分MAL和白癜风,”研究人员写道。“大多数MAL误诊患者,是仅仅基于照片做出的诊断评估。”

“临床上区分MAL和白癜风是困难的,因为两者缺乏特定的临床特征。”研究人员总结说。

原始出处:

Melanoma-associated leukoderma may be misdiagnosed as vitiligo.Healio.October 24, 2016

Lommerts JE, et al.Melanoma-associated leukoderma and vitiligo cannot be differentiated based on blinded assessment by experts in the field. J Am Acad Dermatol. 2016;doi:10.1016/j.jaad.2016.07.060.

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    2016-11-11 虈亣靌

    讲的好,学习了

    0

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    2016-11-01 laoli

    很有参考价值,对临床有帮助!

    0

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    2016-10-29 laoli

    确实容易误诊!值得收藏!

    0

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