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Zosteriform lichen planus-like eruption.

J Miljković1, M Belic, A Godić

  • 1Department of Dermatology and Venereology, General Hospital Maribor, Ljubljanska 5, 2000 Maribor. miljkovic.j@sb-mb.si

Acta Dermatovenerologica Alpina, Pannonica, Et Adriatica
|September 26, 2006
PubMed
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Lichen planus, a T-cell mediated skin disorder, can present uniquely. This case highlights a rare unilateral, linear-zosteriform variant mimicking herpes zoster, suggesting a potential new classification.

Area of Science:

  • Dermatology
  • Immunology

Background:

  • Lichen planus (LP) is a common papulosquamous skin disease.
  • Its etiology is T-cell mediated, affecting skin, mucous membranes, nails, and scalp.
  • LP presents with diverse clinical variants based on lesion morphology.

Observation:

  • A 34-year-old man presented with a unilateral papular eruption.
  • Lesions followed a linear-zosteriform pattern along L5-S1 nerve segments.
  • Clinically and histologically, the eruption mimicked LP.

Findings:

  • Topical betamethasone improved the lesions significantly within one month.
  • A zosteriform hyperpigmentation persisted post-treatment.
  • The case suggests lichenoid-zosteriform eruption may be a variant of LP or herpes zoster.

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Implications:

  • This case expands the known clinical spectrum of lichen planus.
  • It underscores the importance of considering both LP and herpes zoster in zosteriform eruptions.
  • Further research may clarify the relationship between these conditions.