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Zosteriform lichen planus

R Fink-Puches1, R Hofmann-Wellenhof, J Smolle

  • 1Department of Dermatology, University of Graz, Austria.

Dermatology (Basel, Switzerland)
|January 1, 1996
PubMed
Summary
This summary is machine-generated.

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A rare case of lichen ruber planus presented in a zosteriform pattern, affecting specific nerve segments. This unusual skin manifestation suggests a potential link between neural factors and lichenoid eruptions.

Area of Science:

  • Dermatology
  • Neurology
  • Pathology

Background:

  • Lichen ruber planus (LP) is a common inflammatory condition affecting the skin and mucous membranes.
  • LP typically presents with pruritic, purple, polygonal papules and plaques.
  • Zosteriform patterns, resembling herpes zoster, are uncommon presentations for cutaneous diseases.

Observation:

  • A 42-year-old woman exhibited a papular eruption predominantly on the right side of her body.
  • The lesions followed a distinct zosteriform distribution, corresponding to thoracic (TH6-TH12), lumbar (L1-L4), and sacral (S1-S2) nerve dermatomes.
  • Histopathological examination confirmed the lesions were characteristic of lichen ruber planus.

Findings:

  • The patient presented with a rare zosteriform variant of lichen ruber planus.

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  • The eruption's localization within specific nerve segments suggests a potential neurogenic influence.
  • This case highlights an unusual presentation of lichenoid papules in a dermatomal pattern.

    • Implications:

    • The zosteriform arrangement of lichenoid papules may indicate a cutaneous reaction triggered by neural factors.
    • This finding warrants further investigation into the neuro-cutaneous interactions in inflammatory dermatoses.
    • Understanding this association could lead to novel diagnostic or therapeutic approaches for specific LP variants.