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Vesicles in a Patient With a Lichenoid Eruption—Quiz Case
Jin Lee, BA;
Meredith Dasher, MD;
Miguel J. Stadecker, MD;
Jeffrey M. Sobell, MD
Tufts University School of Medicine, Boston, Mass
Arch Dermatol. 2003;139:1363-1368.
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REPORT OF A CASE
A 60-year-old African American woman presented with a pruritic eruption on her trunk and extremities. Her medical history was remarkable for type 1 diabetes mellitus and hypertension. Her medications included lisinopril, insulin, and estrogen.
Physical examination revealed scattered 0.5- to 1.0-mm, violaceous, flat-topped papules and plaques on the chest, upper back area, and dorsal aspect of the hands. The oral mucosa and nails were unremarkable. The results of routine laboratory examinations, including a complete blood cell count, renal function tests, and urinalysis, were normal. A hepatitis panel was negative. The eruption progressed over the following 4 months despite discontinuation of the patient's lisinopril therapy and treatment with 0.05% betamethasone cream, intramuscular triamcinolone, cyclosporine, and narrowband UV-B. After the sixth phototherapy treatment, a 2.0-mm tense vesicle was noted on the left lower extremity (Figure 1) . . . [Full Text of this Article]
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Vesicles in a Patient With a Lichenoid Eruption—Diagnosis
Arch Dermatol. 2003;139(10):1363-1368.
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