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Case 3, (27th Annual Uniformed Serivces Dermatology Seminar, 2003) LINEAR LICHEN PLANUS

Twede JVT - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Case 3, (27th Annual Uniformed Serivces Dermatology Seminar, 2003) LINEAR LICHEN PLANUS

History: 54 year-old white female with an eight month history of red papules that started in her right popliteal region and progressively spread in a linear pattern to involve her right lower extremity from the buttocks to the ankle. The lesions were painful with occasional pruritus and burning sensations. She had a past history of herpes zoster, though never on the lower extremities, and she denied any preceding vesicles to the papules. Her long term medications included alendronate, estrogen, cyclobenzaprine, and amitriptyline, none of which were started immediately preceding the onset of the lesion.

Findings: Hepatitis panel was negative for types A, B and C. Histopathology: The biopsy shows hyperkeratosis, focal hypergranulosis, mild acanthosis, and a lichenoid lymphocytic infiltrate. Max-Joseph spaces, basal layer alteration, and cytoid bodies are also present.

Exam: Discrete 2 to 4 mm red to violaceous papules on the right lower extremity. Some were flat-topped and others had fine white scale. There were skip areas of normal skin between the lesions, and overall they exhibited a Blaschkoian distribution. The nails and mouth were clear of lesions, and no similar lesions were noted anywhere else on the body.

No MeSH data available.


Discrete 2 to 4 mm red to violaceous papules on the right lower extremity. Some were flat-topped and others had fine white scale. There were skip areas of normal skin between the lesions, and overall they exhibited a Blaschkoian distribution. The nails and mouth were clear of lesions, and no similar lesions were noted anywhere else on the body.
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MPX1629_synpic23378: Discrete 2 to 4 mm red to violaceous papules on the right lower extremity. Some were flat-topped and others had fine white scale. There were skip areas of normal skin between the lesions, and overall they exhibited a Blaschkoian distribution. The nails and mouth were clear of lesions, and no similar lesions were noted anywhere else on the body.


Case 3, (27th Annual Uniformed Serivces Dermatology Seminar, 2003) LINEAR LICHEN PLANUS

Twede JVT - MedPix

Discrete 2 to 4 mm red to violaceous papules on the right lower extremity. Some were flat-topped and others had fine white scale. There were skip areas of normal skin between the lesions, and overall they exhibited a Blaschkoian distribution. The nails and mouth were clear of lesions, and no similar lesions were noted anywhere else on the body.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1629&req=5

MPX1629_synpic23378: Discrete 2 to 4 mm red to violaceous papules on the right lower extremity. Some were flat-topped and others had fine white scale. There were skip areas of normal skin between the lesions, and overall they exhibited a Blaschkoian distribution. The nails and mouth were clear of lesions, and no similar lesions were noted anywhere else on the body.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Case 3, (27th Annual Uniformed Serivces Dermatology Seminar, 2003) LINEAR LICHEN PLANUS

History: 54 year-old white female with an eight month history of red papules that started in her right popliteal region and progressively spread in a linear pattern to involve her right lower extremity from the buttocks to the ankle. The lesions were painful with occasional pruritus and burning sensations. She had a past history of herpes zoster, though never on the lower extremities, and she denied any preceding vesicles to the papules. Her long term medications included alendronate, estrogen, cyclobenzaprine, and amitriptyline, none of which were started immediately preceding the onset of the lesion.

Findings: Hepatitis panel was negative for types A, B and C. Histopathology: The biopsy shows hyperkeratosis, focal hypergranulosis, mild acanthosis, and a lichenoid lymphocytic infiltrate. Max-Joseph spaces, basal layer alteration, and cytoid bodies are also present.

Exam: Discrete 2 to 4 mm red to violaceous papules on the right lower extremity. Some were flat-topped and others had fine white scale. There were skip areas of normal skin between the lesions, and overall they exhibited a Blaschkoian distribution. The nails and mouth were clear of lesions, and no similar lesions were noted anywhere else on the body.

No MeSH data available.