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Lichenoid epidermal nevus: "linear lichen planus".

M H Brownstein1, L Silverstein, W Lefing

  • 1Laboratory of Dermatopathology, Port Washington, NY 11050.

Journal of the American Academy of Dermatology
|May 1, 1989
PubMed
Summary
This summary is machine-generated.

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A new variant, lichenoid epidermal nevus, presents with features of verrucous epidermal nevus and lichenoid reactions. This finding may reclassify some cases of linear lichen planus.

Area of Science:

  • Dermatology
  • Histopathology

Background:

  • Epidermal nevi are benign congenital tumors with diverse clinical and histological presentations.
  • Lichenoid tissue reactions are characterized by a dense bandlike lymphocytic infiltrate at the dermoepidermal junction.

Observation:

  • A case of a 3-year-old girl with a 2-year history of linear plaques on her lower limb is presented.
  • Clinical and histological examination revealed features of both verrucous epidermal nevus and a lichenoid tissue reaction.

Findings:

  • Histological findings included hyperkeratosis, papillomatosis, acanthosis, a bandlike lymphohistiocytic infiltrate obscuring the dermoepidermal junction, Civatte bodies, and melanophages.
  • The authors propose 'lichenoid epidermal nevus' as a new variant of linear verrucous epidermal nevus.
  • This entity shares features with inflammatory linear verrucous epidermal nevus and may account for some previously diagnosed cases of linear lichen planus.

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Implications:

  • Recognition of lichenoid epidermal nevus may lead to reclassification of certain dermatoses.
  • Understanding this variant aids in accurate diagnosis and management of complex epidermal nevi.
  • Distinguishing lichenoid epidermal nevus from conditions like linear lichen planus and psoriasis is crucial for appropriate treatment.