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Diffuse and bilateral lichen striatus

F Aloi1, C Solaroli, M Pippione

  • 1Department of Dermatology, University of Turin, Italy.

Pediatric Dermatology
|January 1, 1997
PubMed
Summary
This summary is machine-generated.

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This case study describes a rare, diffuse, and bilateral presentation of lichen striatus in a 5-year-old girl. The papulo-squamous dermatosis followed Blaschko lines and resolved spontaneously.

Area of Science:

  • Dermatology
  • Pediatric Dermatology
  • Pathology

Background:

  • Lichen striatus is a common acquired skin condition typically presenting as unilateral, linear papules and plaques.
  • It predominantly affects children and adolescents, often following Blaschko lines.
  • Unilateral and solitary lesions are the most frequent clinical manifestations.

Observation:

  • A 5-year-old girl presented with a 1-month history of papulo-squamous dermatosis.
  • The lesions were distributed asymmetrically along Blaschko lines on the face, neck, trunk, and limbs, exhibiting a diffuse and bilateral pattern.
  • Histopathological examination revealed a lichenoid infiltrate with focal spongiosis.

Findings:

  • The observed dermatosis demonstrated an unusual diffuse and bilateral distribution, contrasting with the typical solitary and unilateral presentation of lichen striatus.

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  • The condition showed spontaneous resolution over 16 months, leaving post-inflammatory hypopigmentation.
  • Histological features were consistent with lichen striatus, despite the atypical clinical presentation.

    • Implications:

    • This case highlights the variability in the clinical presentation of lichen striatus, emphasizing that rare bilateral and diffuse forms can occur.
    • It underscores the importance of considering lichen striatus in the differential diagnosis of Blaschko linear dermatoses, even in atypical patterns.
    • Understanding these variations aids in accurate diagnosis and management of pediatric skin conditions.