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Related Experiment Videos

Lichen planus associated with milia.

T Lucke1, M Fallowfield, D Burden

  • 1Department of Dermatology, Western Infirmary, Glasgow, UK. TomLucke@aol.com

Clinical and Experimental Dermatology
|August 24, 1999
PubMed
Summary

Milia formation is now recognized in various lichen planus types, not just rare variants. This finding suggests a link between severe lichenoid reactions and milia development in lichen planus.

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Area of Science:

  • Dermatology
  • Pathology

Background:

  • Milia are known to form in bullous and inflammatory skin conditions.
  • Previous reports linked milia to lichen planus follicularis tumidus (LPFT), a rare lichen planus variant.

Observation:

  • This study reports five patients with milia during idiopathic or drug-induced lichen planus (LP).
  • One patient developed milia following a lichenoid tattoo reaction.
  • Milia appeared transiently during the resolution phase of LP and often required systemic steroid treatment.

Findings:

  • The association of milia with lichen planus (LP) extends beyond the rare LPFT variant.
  • Milia formation in LP is not limited to specific subtypes.

Implications:

  • The findings broaden the understanding of milia as a potential manifestation in diverse forms of lichen planus.
  • A severe lichenoid reaction causing basal layer degeneration is hypothesized to trigger milia in some LP cases.

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