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Pruritic Linear Eruption on a Child
Por Ang, MD;
Yong-Kwang Tay, MD;
Yoke-Chin Giam, MD
National Skin Centre, Singapore
Arch Dermatol. 2001;137:85-90.
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REPORT OF A CASE
A 10-year-old Indian girl presented with a 4-month history of pruritic lesions on her right leg. There was no preceding inflammation or relevant medication history. She was otherwise well. Physical examination revealed violaceous papules and plaques, ranging in size from 0.5 to 2.0 cm in diameter, distributed over the right foot, ankle, shin, and knee in a zosteriform fashion (Figure 1 and Figure 2). The nails and buccal mucosa were normal. A punch biopsy specimen of a lesion was obtained (Figure 3).
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Figure 1.
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Figure 2.
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Figure 3.
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What is your diagnosis?
Diagnosis: Linear lichen planus.
Microscopic examination showed a dense lichenoid infiltrate of lymphocytes and melanophages in the papillary dermis. The epidermis showed irregular hyperplasia, jagged rete ridges, vacuolar alteration, hypergranulosis, and compact orthokeratosis.
Linear lichen planus is a well-recognized but rare entity that was first described by Devergie in . . . [Full Text of this Article]
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