Lichen Striatus on an Adult
Lichen striatus is a well-known, acquired, self-healing, linear inflammatory dermatosis. Its etiology remains unclear. It rarely affects adults, and it is characterized by abrupt onset of coalescent papules, in a linear disposition, usually on the extremities. It is usually localized and asymptomatic; however, when the onset occurs in adulthood, patients may experience widespread lesions and pruritus. The lesions are located on extremities and less commonly on the trunk, and they follow the developmental lines of Blaschko. Histopathology findings indicate both lichenoid and spongiotic dermatitis. The therapeutic approach usually used is topical steroids. It is reported here the case of an adult woman with erythematous violaceous papules on the left leg, diagnosed with lichen striatus by clinical and histopathological correlation.
Lichen Striatus on an Adult
Lichen striatus is a well-known, acquired, self-healing, linear inflammatory dermatosis. Its etiology remains unclear. It rarely affects adults, and it is characterized by abrupt onset of coalescent papules, in a linear disposition, usually on the extremities. It is usually localized and asymptomatic; however, when the onset occurs in adulthood, patients may experience widespread lesions and pruritus. The lesions are located on extremities and less commonly on the trunk, and they follow the developmental lines of Blaschko. Histopathology findings indicate both lichenoid and spongiotic dermatitis. The therapeutic approach usually used is topical steroids. It is reported here the case of an adult woman with erythematous violaceous papules on the left leg, diagnosed with lichen striatus by clinical and histopathological correlation.
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- Fogagnolo L, Barreto JA, Soares CT, Marinho FC, Nassif PW. Lichen striatus on adult. An Bras Dermatol 2011;86:142-5.
- Dragos V, Mervic L, Zgavec B. Lichen striatus in a child after immunization. A case report. Acta Dermatovenerol Alp Panonica Adriat. 2006;15:178-80.
- Vukićević J, Milobratović D, Vesić S, Milosević-Jovćić N, Cirić D, Medenica L. Unilateral multiple lichen striatus treated with tacrolimus ointment: a case report. Acta Dermatovenerol Alp Panonica Adriat. 2009;18:35-8.
- Keegan BR, Kamino H, Fangman W, Shin HT, Orlow SJ, Schaffer JV. “Pediatric Blaschkitis”: expanding the spectrum of childhood acquired Blaschko-linear dermatoses. Pediatr Dermatol 2007;24:621-7.
- Mittal R, Khaitan BK, Ramam M, Verma KK, Manchanda M. Multiple lichen striatus-An unusual presentation. Indian J Dermatol Venereol Leprol. 2001;67:204.
- Monteagudo B, Cabanillas M, Suarez-Amor O, Ramirez-Santos A, Alvarez JC, de Las Heras C. [Adult blaschkitis (lichen striatus) in a patient treated with adalimumab]. Actas Dermosifiliogr. 2010;101:891-2.
- Lee MW, Choi JH, Sung KJ, Moon KC, Koh JK. Linear eruptions of the nose in childhood: a form of lichen striatus? Br J Dermatol 2000;142:1208-12.
- Lee DY, Kim S, Kim CR, Kim HJ, Byun JY, Yang JM. Lichen striatus in an adult treated by a short course of low-dose systemic corticosteroid. J Dermatol. 2011;38:298-9.
- Campanati A, Brandozzi G, Giangiacomi M, Simonetti O, Marconi B, Offidani AM. Lichen striatus in adults and pimecrolimus: open, off-label clinical study. Int J Dermatol. 2008;47.