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Unmasking Linear Psoriasis: A Case of ILVEN-Like Presentation and Topical Treatment Success

Sujita Manandhar1, Deeptara Pathak Thapa1, Arnija Rana1

  • 1Department of Dermatology Nepal Medical College and Teaching Hospital Kathmandu Nepal.

Clinical Case Reports
|December 5, 2025
PubMed

Linear psoriasis can closely mimic ILVEN, complicating diagnosis. Unlike ILVEN, linear psoriasis responds well to topical therapies. In resource-constrained settings, a histology-first approach supported by dermoscopy offers a practical and reliable diagnostic strategy. It also reduces unnecessary interventions and avoids dependence on costly, often inaccessible techniques such as immunohistochemistry.

Keywords:
Blaschko linesMunro's microabscessdermoscopyinflammatory linear epidermal verrucous nevuslinear psoriasisspongiform pustule of Kogoj

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