Generic selectors
Exact matches only
Search in title
Search in content
Search in posts
Search in pages
Filter by Categories
15th National Conference of the IAOMFP, Chennai, 2006
Abstract
Abstracts from current literature
Acne in India: Guidelines for management - IAA Consensus Document
Addendum
Announcement
Art & Psychiatry
Article
Articles
Association Activities
Association Notes
Award Article
Book Review
Brief Report
Case Analysis
Case Letter
Case Letters
Case Notes
Case Report
Case Reports
Clinical and Laboratory Investigations
Clinical Article
Clinical Studies
Clinical Study
Commentary
Conference Oration
Conference Summary
Continuing Medical Education
Correspondence
Corrigendum
Cosmetic Dermatology
Cosmetology
Current Best Evidence
Current View
Derma Quest
Dermato Surgery
Dermatopathology
Dermatosurgery Specials
Dispensing Pearl
Do you know?
Drug Dialogues
e-IJDVL
Editor Speaks
Editorial
Editorial Remarks
Editorial Report
Editorial Report - 2007
Editorial report for 2004-2005
Errata
Erratum
Focus
Fourth All India Conference Programme
From Our Book Shelf
From the Desk of Chief Editor
General
Get Set for Net
Get set for the net
Guest Article
Guest Editorial
History
How I Manage?
IADVL Announcement
IADVL Announcements
IJDVL Awards
IJDVL AWARDS 2015
IJDVL Awards 2018
IJDVL Awards 2019
IJDVL International Awards 2018
Images in Clinical Practice
In Memorium
Inaugural Address
Index
Knowledge From World Contemporaries
Leprosy Section
Letter in Response to Previous Publication
Letter to Editor
Letter to the Editor
Letter to the Editor - Case Letter
Letter to the Editor - Letter in Response to Published Article
LETTER TO THE EDITOR - LETTERS IN RESPONSE TO PUBLISHED ARTICLES
Letter to the Editor - Observation Letter
Letter to the Editor - Study Letter
Letter to the Editor - Therapy Letter
Letter to the Editor: Articles in Response to Previously Published Articles
Letters to the Editor
Letters to the Editor - Letter in Response to Previously Published Articles
Letters to the Editor: Case Letters
Letters to the Editor: Letters in Response to Previously Published Articles
Medicolegal Window
Messages
Miscellaneous Letter
Musings
Net Case
Net case report
Net Image
Net Letter
Net Quiz
Net Study
New Preparations
News
News & Views
Obituary
Observation Letter
Observation Letters
Oration
Original Article
ORIGINAL CONTRIBUTION
Original Contributions
Pattern of Skin Diseases
Pearls
Pediatric Dermatology
Pediatric Rounds
Perspective
Presedential Address
Presidential Address
Presidents Remarks
Quiz
Recommendations
Regret
Report
Report of chief editor
Report of Hon : Treasurer IADVL
Report of Hon. General Secretary IADVL
Research Methdology
Research Methodology
Resident page
Resident's Page
Resident’s Page
Residents' Corner
Residents' Corner
Residents' Page
Retraction
Review
Review Article
Review Articles
Revision Corner
Self Assessment Programme
SEMINAR
Seminar: Chronic Arsenicosis in India
Seminar: HIV Infection
Short Communication
Short Communications
Short Report
Special Article
Specialty Interface
Studies
Study Letter
Supplement-Photoprotection
Supplement-Psoriasis
Symposium - Contact Dermatitis
Symposium - Lasers
Symposium - Pediatric Dermatoses
Symposium - Psoriasis
Symposium - Vesicobullous Disorders
SYMPOSIUM - VITILIGO
Symposium Aesthetic Surgery
Symposium Dermatopathology
Symposium-Hair Disorders
Symposium-Nails Part I
Symposium-Nails-Part II
Tables
Technology
Therapeutic Guidelines
Therapeutic Guidelines - IADVL
Therapeutics
Therapy
Therapy Letter
View Point
Viewpoint
What’s new in Dermatology
View/Download PDF
Case Report
2001:67:4;204-204
PMID: 17664744

Multiple lichen striatus-An unusual presentation

Rashmi Mittal, Binod K Khaitan, M Ramam, Kaushal K Verma, M Manchanda
 Department of Dermatology & Venereology, AIIMS. New Delhi-110029, India

Correspondence Address:
Binod K Khaitan
Department of Dermatology & Venereology, AIIMS. New Delhi-110029
India
How to cite this article:
Mittal R, Khaitan BK, Ramam M, Verma KK, Manchanda M. Multiple lichen striatus-An unusual presentation. Indian J Dermatol Venereol Leprol 2001;67:204
Copyright: (C)2001 Indian Journal of Dermatology, Venereology, and Leprology

Abstract

A 2-year-old mare child presented with multiple hypopigmented, flat topped papules with a bilateral distribution along the lines of Blaschko. A 7-year-old girl presented with multiple hypopigmented macules arranged linearly along the left upper and lower limb and also on the back along the lines of Blaschko. Three discrete lines in three distinct anatomical areas in a case of lichen striatus do not appear to have been described.
Keywords: Lichen striatus, Blaschko′s fines

Introduction

The history of lichen striatus dates back to the 19th century and the disease has been described repeatedly under different names due to its linear distribution, viz. linear neurodermatitis, linear dermatoses, lichenoid eruption and zonal dermatosis.[1] Lichen striatus is a self remitting inflammatory dematosis that ocurs most often in children.[2] Lesions consist of erythematous often flat topped, small papules coalescing into plaques following Blaschko′s lines. Lesions are usually asymptomatic, pruritus being a rare complaint.

We report here two cases where the patients had multiple lesions with a bilateral distribution along the lines of Blaschko.

Case 1:

A two-year-old male child presented with asymptomatic, flat topped, hypopigmented, 1 mm sized closely grouped papules arranged linearly along the lateral side of right leg from the knee to the iliac crest. Similar papuies were arranged in a whorled pattern on the right side of chest extending to the back and also on the left shoulder extending on to the front of the chest.

Case 2:

A seven-year-old girl presented with asymptomatic, hypopigmented macules of size ranging from 0.5mm-lcm arranged linearly along the left upper limb involving the arm and the forearm and lower limb extending from the thigh to the ankle. Similar lesions were present on the back arranged along the lines of Blaschko.

No other family members in both the cases had history of similar lesions. The developmental milestones were normal and the general physical examination and examination of other systems did not reveal any abnormality. On routine investigation, haemogram, blood chemistry, urine and stool examination were within normal limits. Histopathology of case 1 showed mild acanthosis, spongiosis and a lichenoid mononuclear infiltrate at the dermoepidermal junction. Histopathology of case 2 showed nonspecific chronic inflammatory infiltrate.

Discussion

There are convincing data in the literature[3] that the lesions of lichen striatus clearly follow a linear distribution in a (non metameric) dermatomal pattern. We made a diagnosis of lichen striatus on the basis of clinical morphology of linear papules arranged in a whorled pattern. These features were later corroborated with the histopathological findings. Lichen striatus usually presents as a single linear lesion. In a review of 25 cases[4] all the patients had single lesions confined to one anatomical region or extending into a contiguous area. Three discrete lines in three distinct anatomical areas in a case of lichen striatus do not appear to have been described.

Lichen striatus is one of the dematoses that follow Blaschko′s lines. The development of disease in this pattern has been ascribed to somatic mutation leading to an abnormal clone of cells. It would appear that somatic mutation occurred in three different precursor cells in our patients leading to three abnormal clones of cells and three lesions of lichen striatus.

References
1.
Starrico RG. Lichen striatus. Arch Dermatol 1995 ; 79 : 311-324.
[Google Scholar]
2.
Bolognia JL, Orlow SJ, Glick SA. Lines of Blaschko. J Am Acad Dermatol 1994 ; 31 : 157-181.
[Google Scholar]
3.
Jackson R. The lines of Blaschko, a review and reconsideration. Observations of the cause of certain unusual linear conditions of the skin. Br J Dermatol 1976; 95 : 349-360.
[Google Scholar]
4.
Taieb A, Youbi EI, Grosshans E, et al. Lichen striatus : A Blaschko linear acquired inflammatory skin eruption. J Am Acad Dermatol 1991 ; 25 : 637-642.
[Google Scholar]

Fulltext Views
22

PDF downloads
17
Show Sections