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Lichenoid Skin Eruptions

»	How do lichenoid eruptions differ from other papulosquamous conditions?
»	What does “lichenoid” mean?
»	What is the most common lichenoid skin disease?
»	What anatomic locations are most often affected by Lichen planus?
»	Describe the characteristic primary skin lesions of Lichen planus.
»	What are the characteristic oral findings of Lichen planus?
»	Describe the isomorphic response of Lichen planus.
»	What causes Lichen planus?
»	What are the less common presentations of Lichen planus?
»	How is 20-nail dystrophy related to Lichen planus?
»	Is Lichen planus associated with systemic diseases?
»	What is the prognosis of Lichen planus?
»	What is the primary symptom of Lichen planus?
»	Describe the characteristic histopathologic features of classic Lichen planus.
»	How is lichen planus treated?
»	What conditions enter the differential diagnosis of an “Lichen planus-like” eruption?
»	Are Lichen planus and systemic lupus erythematosus related?
»	Are Lichen planus and bullous pemphigoid related?
»	Why is graft-versus-host disease a consideration in Lichen planus-like eruptions?
»	Describe the primary lesion of lichen nitidus.
»	What are the other clinical features of lichen nitidus?
»	Does lichen nitidus demonstrate a lichenoid infiltrate upon biopsy?
»	What is lichen striatus?
»	Discuss the natural history and prognosis of lichen striatus.
»	What is lichen simplex chronicus?
»	How is lichen simplex chronicus treated?

What is lichen striatus?

Lichen striatus. Linear plaque composed of violaceous, slightly hyperpigmented papules confined to the lower extremity of a young adult. Most cases occur in children. (Courtesy of the Fitzsimons Army Medical Center teaching files.)

Fig. 12.7 Lichen striatus. Linear plaque composed of violaceous, slightly hyperpigmented papules confined to the lower extremity of a young adult. Most cases occur in children. (Courtesy of the Fitzsimons Army Medical Center teaching files.)

Lichen striatus is an uncommon idiopathic dermatosis that presents as a linear plaque, most often on the extremity or neck of a child or, less commonly, an adult. The condition consists of a coalescent group of flesh or rose-colored lichenoid papules (Fig. 12-7). The resultant linear plaque may form a band several centimeters wide and may course the entire length of the extremity.

Patrizi A, Neri I, Fiorentini C, et al: Lichen striatus: clinical and laboratory features of 115 children, Pediatr Dermatol 21:197–204, 2004.

Taniguchi Abagge K, Parolin Marinoni L, Giraldi S, et al: Lichen striatus: description of 89 cases in children, Pediatr Dermatol 21:440-443, 2004.