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[Zosteriform lichen aureus]

E Dippel1, K Schröder, S Goerdt

  • 1Hautklinik und Poliklinik, Universitätsklinikum Benjamin Franklin, Freie Universität Berlin.

Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete
|April 29, 1998
PubMed
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Lichen aureus, a variant of purpura pigmentosa chronica, presented unusually in a zosteriform pattern. This rare skin condition showed characteristic histology but resisted topical corticosteroid treatment.

Area of Science:

  • Dermatology
  • Pathology

Background:

  • Lichen aureus is a localized variant of purpura pigmentosa chronica.
  • Purpura pigmentosa chronica encompasses various chronic, pigmented purpuric dermatoses.

Observation:

  • A patient exhibited an atypical striate and segmental or zosteriform distribution of lichen aureus.
  • The lesions affected the left leg and lower abdominal area.
  • Histopathology revealed a dense band-like infiltrate of lymphocytes and hemosiderin-laden macrophages.

Findings:

  • No identifiable trigger, such as infection or medication, was found.
  • The lichen aureus lesions demonstrated poor response to topical corticosteroid therapy.

Implications:

  • This case highlights an unusual presentation of lichen aureus.

Related Experiment Videos

  • The resistance to topical corticosteroids suggests potential alternative treatment strategies may be needed for similar cases.