Journal of Internal Medicine Concepts & Practice ›› 2024, Vol. 19 ›› Issue (06): 367-371.doi: 10.16138/j.1673-6087.2024.06.03

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Role of dermatopathology in diagnosis of rheumatic diseases

CHEN Jia1(), ZHAO Futao2, SUN Jianfang3   

  1. 1. Department of Rheumatology, Skin Disease Hospital of Tongji University, Shanghai 200443, China
    2. Department of Rheumatology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
    3. Department of Pathology, Hospital for Skin Disease, Institute of Dermatology, Chinese Academy of Medical Sciences, Peking Union Medical College, Nanjing 210042, China
  • Received:2024-11-13 Online:2024-12-26 Published:2025-03-11

Abstract:

Dermatopathological examination is the “gold standard” for skin lesion diagnosis, which can help to make the most accurate diagnosis of rheumatic immune diseases with skin lesions. The dermatopathological manifestations of skin lesions in most rheumatic diseases are not very specific, while the dermatohistopathological features are relatively distinct in discoid lupus erythematosus, scleroderma, adult Still disease and vasculitis. Dermatopathology plays different roles in the diagnosis of rheumatic immune diseases, differentiation of comorbidities, disease classification and staging, and exploration of pathogenesis of rheumatic diseases. Mastering and applying dermatopathological techniques are very important for the precise diagnosis and treatment of rheumatic diseases.

Key words: Dermatopathology, Rheumatic diseases, Systemic lupus erythematosus

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