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Чаще всего патология встречается у людей от 45 до 60 лет [1](https://gutaclinic.ru/articles/krasnyy-ploskiy-lishay/). \n\nДиагностикой и лечением красного плоского лишая занимаются дерматологи [2](https://www.invitro.ru/library/bolezni/24072/). При изолированном поражении слизистой оболочки рта может потребоваться консультация стоматолога [2](https://www.invitro.ru/library/bolezni/24072/).\n\n## Причины\nТочные причины развития красного плоского лишая не выяснены, поэтому его считают мультифакторным заболеванием [1](https://gutaclinic.ru/articles/krasnyy-ploskiy-lishay/). Некоторые теории возникновения: \n* **Аутоиммунная** — иммунная система атакует собственные клетки кожи и слизистых оболочек, вызывая воспаление [1](https://gutaclinic.ru/articles/krasnyy-ploskiy-lishay/)[6](https://www.MedCentrServis.ru/disease/krasnyy-ploskiy-lishay/). \n* **Инфекционная** — лишай может развиваться на фоне инфекционных болезней (гепатиты, тонзиллит, гайморит) [1](https://gutaclinic.ru/articles/krasnyy-ploskiy-lishay/). \n* **Токсическая** — патология может развиваться под воздействием внешних факторов: химических веществ, лекарственных препаратов [1](https://gutaclinic.ru/articles/krasnyy-ploskiy-lishay/).\n\n## Симптомы\nСимптоматика болезни может разниться в зависимости от локализации [1](https://gutaclinic.ru/articles/krasnyy-ploskiy-lishay/): \n* **На коже** — плоские блестящие папулы красного или фиолетового цвета размером от нескольких миллиметров до сантиметра, которые сильно чешутся [1](https://gutaclinic.ru/articles/krasnyy-ploskiy-lishay/). Форма папул не круглая, а скорее многоугольная, они могут сливаться, образуя более крупные элементы [1](https://gutaclinic.ru/articles/krasnyy-ploskiy-lishay/). Иногда формируются кольцевидные или линейные структуры [1](https://gutaclinic.ru/articles/krasnyy-ploskiy-lishay/). \n* **На слизистой оболочке рта** — белые сетчатые линии (симптом Уикхема), язвы и эрозии [1](https://gutaclinic.ru/articles/krasnyy-ploskiy-lishay/). Это может приносить неудобство и боль при приёме пищи и разговоре [1](https://gutaclinic.ru/articles/krasnyy-ploskiy-lishay/). \n* **На ногтях** — заболевание утолщает ногти, делает их более хрупкими и склонными к ломкости [1](https://gutaclinic.ru/articles/krasnyy-ploskiy-lishay/). Характерный признак — продольные борозды и линии на ногтевой пластине [1](https://gutaclinic.ru/articles/krasnyy-ploskiy-lishay/). \n* **На волосистой части головы** — красный лишай поражает эту область в редких случаях [1](https://gutaclinic.ru/articles/krasnyy-ploskiy-lishay/). При заболевании выпадают волосы, и после заживления папул на коже образуются рубцы [1](https://gutaclinic.ru/articles/krasnyy-ploskiy-lishay/).\n\n## Диагностика\nОбычно диагноз ставят на основании характерной клинической картины — формы и цвета высыпаний, их локализации и типичных жалоб [6](https://www.MedCentrServis.ru/disease/krasnyy-ploskiy-lishay/). При сомнениях используют дерматоскопию, биопсию с гистологией и иммунофлюоресцентный анализ [6](https://www.MedCentrServis.ru/disease/krasnyy-ploskiy-lishay/).\n\n## Лечение\nТерапия заболевания комплексная [12](https://www.smclinic-spb.ru/zabolevaniya/krasnyj-ploskij-lishaj). Некоторые методы лечения: \n* **Местная терапия** — гормональные мази [12](https://www.smclinic-spb.ru/zabolevaniya/krasnyj-ploskij-lishaj). \n* **Физиотерапия** (фототерапия, ПУВА) [12](https://www.smclinic-spb.ru/zabolevaniya/krasnyj-ploskij-lishaj). \n* **Приём антигистаминных препаратов** для купирования зуда [12](https://www.smclinic-spb.ru/zabolevaniya/krasnyj-ploskij-lishaj). \n* **Если наблюдается присоединение вторичной инфекции**, — антибактериальные препараты [12](https://www.smclinic-spb.ru/zabolevaniya/krasnyj-ploskij-lishaj). \n\nВ периоды обострения болезни важно не допускать травмирования очагов поражения, так как это может привести к появлению новых высыпаний [12](https://www.smclinic-spb.ru/zabolevaniya/krasnyj-ploskij-lishaj).","linksData":[{"sourceId":1,"url":"https://gutaclinic.ru/articles/krasnyy-ploskiy-lishay/","shownUrl":"https://gutaclinic.ru/articles/krasnyy-ploskiy-lishay/","title":"Красный плоский лишай: причины, симптомы и лечение","shortUrl":"gutaclinic.ru","isTranslated":false,"description":"","greenUrl":"gutaclinic.ru"},{"sourceId":2,"url":"https://www.invitro.ru/library/bolezni/24072/","shownUrl":"https://www.invitro.ru/library/bolezni/24072/","title":"Красный плоский лишай","shortUrl":"invitro.ru","isTranslated":false,"description":"","greenUrl":"invitro.ru"},{"sourceId":3,"url":"https://akriderm.com/articles/krasnyy-ploskiy-lishay/","shownUrl":"https://akriderm.com/articles/krasnyy-ploskiy-lishay/","title":"Красный плоский лишай: причины и симптомы, как вылечить - Акридерм®","shortUrl":"akriderm.com","isTranslated":false,"description":"","greenUrl":"akriderm.com"},{"sourceId":4,"url":"https://www.fdoctor.ru/bolezn/krasnyy_ploskiy_lishay/","shownUrl":"https://www.fdoctor.ru/bolezn/krasnyy_ploskiy_lishay/","title":"Красный плоский лишай - причины, виды и симптомы заболевания","shortUrl":"fdoctor.ru","isTranslated":false,"description":"","greenUrl":"fdoctor.ru"},{"sourceId":5,"url":"https://comfort.sovamed.ru/zabolevaniya/lishay/","shownUrl":"https://comfort.sovamed.ru/zabolevaniya/lishay/","title":"Лишай: причины, симптомы и лечение","shortUrl":"comfort.sovamed.ru","isTranslated":false,"description":"","greenUrl":"comfort.sovamed.ru"},{"sourceId":6,"url":"https://www.MedCentrServis.ru/disease/krasnyy-ploskiy-lishay/","shownUrl":"https://www.MedCentrServis.ru/disease/krasnyy-ploskiy-lishay/","title":"Красный плоский лишай: причины, как проявляется, диагностика и лечение","shortUrl":"MedCentrServis.ru","isTranslated":false,"description":"","greenUrl":"MedCentrServis.ru"},{"sourceId":7,"url":"https://ProBolezny.ru/lishay-krasnyy-ploskiy/","shownUrl":"https://ProBolezny.ru/lishay-krasnyy-ploskiy/","title":"Красный плоский лишай: причины, симптомы и лечение в статье дерматолога Костюкова Д. 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