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Related Experiment Videos

Lichen planus pigmentosus-inversus.

L Pock1, L Jelínková, L Drlík

  • 1Department of Dermatology and Venerology, Charles University 2nd Medical School, Motol University Hospital, Prague, Czech Republic. lumir.pock@atlas.cz

Journal of the European Academy of Dermatology and Venereology : JEADV
|January 5, 2002
PubMed
Summary

This study identifies a variant of lichen planus pigmentosus (LPP) predominantly affecting intertriginous areas, termed LPP-inversus. Microscopic findings reveal unique inflammatory and degenerative processes contributing to its presentation.

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Area of Science:

  • Dermatology
  • Pathology

Background:

  • Lichen planus pigmentosus (LPP) is a skin condition characterized by hyperpigmentation.
  • Typical LPP lesions can present in various forms and locations.

Purpose of the Study:

  • To investigate the clinical and microscopic features of LPP in seven patients.
  • To propose a new designation for a variant of LPP with distinct characteristics.

Main Methods:

  • Clinical examination of seven patients with LPP.
  • Microscopic examination of skin biopsies from affected individuals.

Main Results:

  • All patients exhibited a predominance of LPP lesions in intertriginous areas, particularly the axillae.
  • Microscopic analysis revealed active inflammation with intense hydropic degeneration of basal keratinocytes and absence of acanthosis.

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  • These findings suggest a rapid transition to a regressive phase with pigment incontinence.
  • Conclusions:

    • The unique morphogenetic dynamics and inverse location support the designation of LPP-inversus for this variant.
    • LPP-inversus presents as brown, non-pruritic, small inflammatory macules due to specific pathological processes.