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Lichen simplex chronicus des Analbereiches und seine Differenzialdiagnosen

Darstellung einer Fallserie

Lichen simplex chronicus of the anal region and its differential diagnoses

A case series

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Zusammenfassung

Der Lichen simplex chronicus (LSC) im Analbereich zeichnet sich durch massiven Juckreiz, ständiges Kratzen und den chronischen Verlauf aus. Histologisch zeigt sich eine pseudoepitheliale Hyperplasie. Sowohl die korrekte Diagnosestellung als auch die Therapie des analen LSC sind mitunter schwierig. Differenzialdiagnostisch muss der LSC von einem verrukösen Lichen ruber und einem Plattenepithelkarzinom abgegrenzt werden. Anhand von 3 Fallpräsentationen werden Pathogenese, Diagnostik, Differenzialdiagnosen sowie Therapiemodalitäten des Lichen simplex chronicus im Analbereich erläutert.

Abstract

Lichen simplex chronicus (LSC) of the anal region is characterized by massive pruritus, constant itching and a chronic course. Histology is notable for a pseudoepitheliomatous hyperplasia. Correct diagnosis as well as therapy of anal LSC sometimes is difficult. Differential diagnostic considerations include verrucous lichen planus and squamous cell carcinoma. We present three cases and then summarize pathogenesis, diagnostics, differential diagnoses and therapeutic options for lichen simplex chronicus of the anal region.

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  1. Hautklinik der Universität Heidelberg, Vossstraße 2, 69115, Heidelberg, Deutschland

    M. Pleimes, K. Wiedemeyer & W. Hartschuh

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  1. M. Pleimes
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  2. K. Wiedemeyer
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  3. W. Hartschuh
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Correspondence to M. Pleimes.

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Pleimes, M., Wiedemeyer, K. & Hartschuh, W. Lichen simplex chronicus des Analbereiches und seine Differenzialdiagnosen. Hautarzt 60, 907–912 (2009). https://doi.org/10.1007/s00105-009-1728-y

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  • DOI: https://doi.org/10.1007/s00105-009-1728-y

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