Lichen striatus

from Wikipedia, the free encyclopedia
Classification according to ICD-10
L44.2 Lichen striatus
ICD-10 online (WHO version 2019)
Lichen striatus new image.jpg

The Lichen striatus is a rare, acquired, chronic, inflammatory skin disease limiting with yourself formation of little symptomatic papules . The disease can be viewed as a special form of ILVEN .

Synonyms are: Latin dermatitis linearis ; English linear lichenoid dermatosis; Blaschko linear acquired inflammatory skin eruption (BLAISE); Blaschkitis

It was first described in 1898 by the French dermatologist and pathologist Félix Balzer (1849–1929) together with R. Mercier. The name in use today comes from the year 1941 by RD Senear and M. R, Caro.

The term "blaschkitis" is sometimes used for affected adults.

Occurrence and cause

The disease mainly affects children and adolescents, more than 50% of those affected are between 5 and 15 years old. The cause is not clear.

Clinical manifestations

Clinical criteria are:

  • Mainly occurring in children and adolescents
  • Asymmetrical, mainly affecting arms and legs
  • the Blaschko lines following
  • Small, reddish, mostly less symptomatic, lichen-like, psoriasis-like or eczematous  papules
  • Expansion within two to four weeks as a confluent, longer band over the affected extremity

After regression after a few months, hyperpigmentation can remain for a long time. Persistence for years and recurrences are possible.

In addition to the skin, the nails can also be affected.

Differential diagnosis

To be distinguished are: nevus unius lateralis , lichen planus linearis and psoriasis linearis

literature

  • A. Gupta, RK Gautam, M. Bhardwaj: Bilateral Lichen Striatus: A Case Report with Review of Literature. In: Indian dermatology online journal. Vol. 8, No. 4, 2017 Jul – Aug, pp. 264–266, doi : 10.4103 / idoj.IDOJ_304_16 , PMID 28761844 , PMC 5518579 (free full text).
  • MI García-Briz, S. Santos-Alarcón, MD Fuertes-Prosper, A. Mateu-Puchades: Lichen Striatus in Childhood: Is It Associated With Atopic Dermatitis? In: Actas dermo-sifiliograficas. [Electronic publication before printing] June 2017, doi: 10.1016 / j.ad.2017.03.014 , PMID 28666524 .

Individual evidence

  1. a b c Encyclopedia Dermatology
  2. a b Emedicine
  3. ^ F. Balzer, R. Mercier: Trophoneurose lichenoid en bande linéare sur le trajet du nerve petit sciatique . In: Annales de Dermatologie et de Syphiligraphie Vol. 9, 1898, p. 258.
  4. RD Senear, MR Caro: Lichen striatus. In: Archive for Dermatology and Syphilis , Vol. 33, 1941, pp. 116-133.
  5. Thomas Hofer: Lichen striatus in Adults or 'Adult Blaschkitis' ?. In: Dermatology. Vol. 207, 2003, p. 89, doi: 10.1159 / 000070955 .
  6. ^ H. Reiter, R. Feldmann, F. Breier, R. Happle, F. Gschnait: Lichen striatus or Blaschkitis of the adult Variations of the same entity? In: The dermatologist; Journal of Dermatology, Venereology, and Allied Fields. Vol. 51, No. 10, October 2000, pp. 770-773, PMID 11153365 .
  7. M. Kim, HY Jung, YS Eun, BK Cho, HJ Park: Nail lichen striatus: report of seven cases and review of the literature. In: International journal of dermatology. Vol. 54, No. 11, November 2015, pp. 1255-1260, doi: 10.1111 / ijd.12643 , PMID 26474189 (review).

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