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Lichen Amyloidosis Associated With Atopic Dermatitis
Clinical Resolution With Cyclosporine
Fiona D. Behr, BS, BA;
Norman Levine, MD;
Jerry Bangert, MD
From the Section of Dermatology, University of Arizona College of Medicine, Tucson.
Arch Dermatol. 2001;137:553-555.
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REPORT OF A CASE
A 64-year-old Asian man with a history of refractory atopic dermatitis (AD) presented with severe generalized pruritus. Results of examination revealed erythematous, lichenified, crusted plaques and papules, mainly on the chest, abdomen, back, and extremities. In addition, numerous firm, skin-colored papules were found on the anterior shins (Figure 1). The patient stated that he first noticed these lesions approximately 2 years ago, after an extremely pruritic flare of his AD. They had not remitted since they first appeared. The patient reported no other medical problems and denied any family history of skin disease.
Figure appears in full text version.
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Figure 1. Baseline appearance of the right leg showing multiple papules in a cobblestonelike pattern.
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The clinical differential diagnosis of the leg lesions included lichen amyloidosis (LA), lichen simplex chronicus, and lichen planus. A punch biopsy specimen of a papule was taken from the . . . [Full Text of this Article]
THERAPEUTIC CHALLENGE
SOLUTION
COMMENT
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