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Photosensitive spongiotic/lichenoid eruption of micropapules and plaques: a morphologically distinct entity
Nidhi Shah1, Binod K Khaitan, M Ramam
1Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India.
Background:
A distinct morphological pattern of photodermatosis has been observed with shiny skin colored to hypopigmented tiny papules, discrete or coalescing to form plaques.
Aims:
To study the clinico-pathological features of patients presenting with these lesions.
Methods:
A total of 72 patients were recruited. Clinical examination and skin biopsy was carried out to evaluate the morphological patterns and the histopathological features.
Results:
In all patients, tiny discrete to coalescent papules were observed on sun-exposed sites but usually sparing the face. The condition occurred more commonly in women. Three specific histopathological patterns were observed : spongiotic (43.7%), lichenoid (22.5%), psoriasiform (18.7%) and also perivascular pattern in 5%.
Conclusion:
Photosensitive lichenoid eruption is a morphologically distinct photodermatoses that is commonly seen in Indian patients with pathological features showing mostly spongiotic changes and in some cases lichenoid changes.
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