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Related Experiment Videos

Zosteriform lichen planus.

Danielle Perry1, Nasim Fazel

  • 1University of California Davis, Department of Dermatology, USA.

Dermatology Online Journal
|September 12, 2006
PubMed
Summary
This summary is machine-generated.

Zosteriform lichen planus is a rare variant of lichen planus presenting in a dermatomal pattern. This case highlights its unique presentation on the trunk, thighs, and a specific dermatome.

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Area of Science:

  • Dermatology
  • Pathology

Background:

  • Lichen planus is an inflammatory condition affecting skin and mucous membranes.
  • Linear lichen planus is a rare variant characterized by a unilateral, linear distribution.
  • Zosteriform lichen planus is an even rarer subtype presenting segmentally within a dermatome.

Observation:

  • A 95-year-old woman presented with a 4-month history of a pruritic rash.
  • The eruption involved the trunk, medial thighs, and lesions localized to the C5 dermatome of the left upper extremity.
  • Punch biopsy confirmed the clinical diagnosis.

Findings:

  • The patient was diagnosed with zosteriform lichen planus.
  • This presentation aligns with the definition of linear lichen planus following a dermatomal pattern.

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  • The condition can arise de novo or as a Wolf isotopic response.

    • Implications:

    • This case underscores the importance of recognizing zosteriform lichen planus as a distinct clinical entity.
    • Understanding its varied presentations aids in accurate diagnosis and management.
    • Further research into the pathogenesis of this rare variant is warranted.