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Vascular abnormalities in lichen aureus.

L Reinhardt, J K Wilkin, R Tausend

    Journal of the American Academy of Dermatology
    |March 1, 1983
    PubMed
    Summary
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    Lichen aureus, a rare skin condition, typically causes asymptomatic lesions. This case highlights unusual persistent pain and temporary improvement after treating a urinary tract infection.

    Area of Science:

    • Dermatology
    • Purpuric Dermatoses
    • Pigmented Purpuric Dermatoses

    Background:

    • Lichen aureus is a rare subset of pigmented purpuric dermatoses.
    • Literature suggests lesions are asymptomatic or mildly pruritic with no regression.

    Observation:

    • A case of lichen aureus in a 56-year-old man with thigh lesions is presented.
    • This case is unusual due to persistent pain at the lesion site.
    • Increased capillary fragility and koebnerization were observed.

    Findings:

    • Treatment of an asymptomatic urinary tract infection led to temporary subjective and objective improvement.
    • This suggests a potential, albeit temporary, link between infection and lichen aureus symptoms.

    Implications:

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    • This case broadens the clinical presentation spectrum of lichen aureus.
    • It highlights the need to consider underlying infections in atypical presentations.
    • Further research may explore the relationship between systemic factors and lichen aureus.