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Lichen aureus.

R I Rudolph

    Journal of the American Academy of Dermatology
    |May 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Lichen aureus, a rare pigmented dermatosis, presents as asymptomatic, golden-purplish papules and plaques. This case highlights unusual widespread localization and a significant response to topical treatment.

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    Area of Science:

    • Dermatology
    • Pigmented Dermatoses
    • Histopathology

    Background:

    • Lichen aureus is an exceptionally rare pigmented and purpuric dermatosis.
    • Characterized by lichenoid papules and plaques with a distinctive golden to purplish hue.
    • Histology shows a dense, bandlike infiltrate of lymphocytes and histiocytes near the epidermis, often with red blood cell extravasation.

    Observation:

    • Presents an unusual case of lichen aureus with widespread localization and peculiar location.
    • The eruption is typically asymptomatic and follows a prolonged clinical course.
    • Histological findings confirm the characteristic dense, bandlike epidermal infiltrate.

    Findings:

    • The presented case demonstrates an atypical widespread distribution of lichen aureus.

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  • A dramatic and positive response to topical therapy was observed.
  • Histopathology confirmed the characteristic dense, bandlike infiltrate.
  • Implications:

    • This case expands the understanding of lichen aureus presentation and localization.
    • Suggests potential efficacy of topical therapies in managing this rare condition.
    • Highlights the importance of considering lichen aureus in the differential diagnosis of pigmented purpuric dermatoses.