A case of unilateral blaschkoid lichen planus pigmentosus
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Dosyalar
Tarih
2017
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Soc Brasileira Dermatologia
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Dear Editor,
Lichen planus pigmentosus (LPP) is a rare variant of lichen planus. A few cases of LPP involving linear, blaschkoid, and zosteriform patterns have been reported in the literature.2-4 We herein describe a case involving a 48-year-old female patient with unilateral abdominal involvement of LPP following the lines of Blaschko. A 48-year-old female patient was admitted to our clinic with a 2-year history of a pruritic rash localized to the right half of the abdomen. The patient’s medical history revealed that she had been
using levetiracetam and levothyroxine for 8 years to treat epilepsy and hypothyroidism. On dermatologic examination, livid-brown, S-shaped, and linear-patterned macules and papules were observed from the right half of her abdomen to the right lumbar area with a tendency to coalescence (Figure 1). Mucous membranes, scalp, and nails were not affected. The results of routine laboratory tests were all within normal limits. Histopathological examination of a punch
biopsy specimen from the lesions revealed hyperkeratosis, epithelial atrophy, hydropic degeneration in the basal layer, civatte bodies, band-like lymphocytic infiltrates, and pigment incontinence in the papillary dermis (Figure 2). A diagnosis of unilateral blaschkoid LPP was made based on the clinical and histopathological evaluations.
Açıklama
Anahtar Kelimeler
Blaschkoid Lichen Planus Pigmentosus, Blaschkoid, Lichen Planus Pigmentosus (LPP), Hypothyroidism, Macules and Papules
Kaynak
Anais Brasileiros De Dermatologia
WoS Q Değeri
Q4
Scopus Q Değeri
Q2
Cilt
92
Sayı
3
