HistoryThis section has been translated automatically.
Balzer and Mercier 1898; Senear and Caro 1941
DefinitionThis section has been translated automatically.
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ManifestationThis section has been translated automatically.
Occurs mainly in children and young people.
LocalizationThis section has been translated automatically.
Asymmetrical: mainly arms, legs (less often: neck or trunk).
Clinical featuresThis section has been translated automatically.
Small reddish, usually less symptomatic, lichenoid, psoriasiform or eczematous flat papules confluent to a reddish, 0.5 - 2.0 cm wide, possibly extending over the entire length of the limb (see also ILVEN). After regression (experience shows that skin changes persist for years), long-term post-inflammatory hypo- and hyperpigmentation may be detectable. Sometimes several stripes are affected in the sense of a systematization. If the stripes end at fingers or toes, nail dystrophy may also be present.
HistologyThis section has been translated automatically.
Differential diagnosisThis section has been translated automatically.
- ILVEN: ILVEN is not regarded as a differential diagnosis, since lichen striatus is considered by many to be a variant of ILVEN, or both clinical pictures are to be subsumed under the term"Blaschko-linear inflammatory dermatoses".
- The term "Blaschkitis" (Grosshans) is probably synonymous with Lichens striatus in adults.
- Nevus verrucosus unius lateralis: In this clinical picture, also aligned in the Blaschko lines, the inflammatory component is missing.
- Lichen planus linearis (histological clarification)
- Linear psoriasis (histological clarification)
TherapyThis section has been translated automatically.
Progression/forecastThis section has been translated automatically.
Formation in 2 to 4 weeks, regression in a period of about 3 months, possibly up to a year, but persistence for years is also possible. Recurrences after healing can occur (as with ILVEN) (see also comments on Blaschko-linear inflammatory dermatoses).
LiteratureThis section has been translated automatically.
- Fujimoto N et al (2003) Facial lichen striatus: successful treatment with tacrolimus ointment. Br J Dermatol 148: 587-590
- Gokdemir G et al (2003) Lichen striatus associated with chronic plaque psoriasis in an adult. J Eur Acad Dermatol Venereol 17: 617-619
- Hofer T (2003) Lichen striatus in adults or 'adult blaschkitis'? There is no need for a new naming. Dermatology 207: 89-92
- Kavak A, Kutluay L (2002) Nail involvement in lichen striatus. Pediatric Dermatol 19: 136-138
- Luther H et al (1990) Naevoid psoriasis, psoriasiform ILVEN or unusual lichen striatus? Nude Dermatol 16: 306-309
- Reiter H et al (2000) Lichen striatus or blaschkitis in the adults. Variations of the same entity? Dermatologist 51: 770-773
- Senear RD, Caro MR (1941) Lichen striatus. Arch Dermatol Syph 33:116-133
- Zhang Y et al (2001) Lichen striatus. Histological, immunohistochemical, and ultrastructural study of 37 cases. J Cutan Pathol 28: 65-71
Incoming links (7)Apoptosis; Blaschkitis; Blaschko-linear inflammatory dermatoses; Interface dermatitis; Lichen aureus; Linear dermatitis; Spongiosis;
Outgoing links (8)Blaschko-linear inflammatory dermatoses; Blaschko lines; Ilven; Interface dermatitis; Lateral nevus verrucosus unius lateralis; Lichen planus linearis; Papel; Spongiosis;
Please ask your physician for a reliable diagnosis. This website is only meant as a reference.