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Lichen Nitidus Actinicus
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We read with interest the article by Hussain1 wherein he has proposed the use of the term "actinic lichen nitidus." We have, however, already used a very similar term, "lichen nitidus actinicus," when we described six 5- to 8-year-old children who had lesions of lichen nitidus (clinically as well as histologically) on the dorsa of the hands and the extensors of the forearms.2 All the patients described by Hussain had clinical features similar to those in our patients, and all but one were adults. Two patients also had lesions of actinic lichen planus. It is thus clear that lichen nitidus is not restricted to children. We concur with Hussain that the term "summer time actinic lichenoid eruption" should be abolished and replaced with lichen nitidus actinicus or actinic lichen nitidus.
Amrinder J. Kanwar, MD;
Surrinder Kaur, MD, FAMS
Department of Dermatology Government Medical College and Hospital Chandigarh, India
1. Hussain K. Summertime actinic lichenoid eruption, a distinct entity, should be termed actinic lichen nitidus. Arch Dermatol. 1998;134:1302-1303.
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2. Kanwar AJ, Kaur S. Lichen nitidus actinicus. Pediatr Dermatol. 1991;8:94-95.
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Arch Dermatol. 1999;135:714.
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