Segmental Lichen Aureus: A Case Report
DOI:
https://doi.org/10.17140/DRMTOJ-1-110Keywords:
Lichen aureus, Segmental lichen, Pigmented purpuric dermatosisAbstract
Lichen Aureus (LA) is a rare asymptomatic dermatosis of unknown etiology which is classified
under the group of Pigmented Purpuric Dermatosis (PPD). It is characterized by solitary
or scant grouped macules or lichenoid papules, more common on the lower part of the legs,
and typically very persistent. Histologically, the epidermis is normal, with a lymphohistiocytic
band like infiltrate with extravasated blood red cells and hemosiderin deposits observed in the
dermis.1-4 A segmental or zosteriform pattern has been rarely described.5,6 The aim of our study
was to evaluate the clinicopathologic features of LA with segmental presentation
References
Gelmetti C, Cerri D, Grimalt R. Lichen aureus in childhood. Pediatr Dermatol. 1991; 8(4): 280-283. doi: 10.1111/j.1525- 1470.1991.tb00933.x
Tilly JJ, Drolet BA, Esterly NB. Lichenoid eruptions in chil-dren. J Am Acad Dermatol. 2004; 51(4): 606-624. doi: 10.1016/j. jaad.2003.12.012
Fujita H, Iguchi M, Ikari Y, Asahina A. Lichen aureus on the back in a 6-year-old girl. J Dermatol. 2007; 34(2): 148-149. doi: 10.1111/j.1346-8138.2006.00237.x
Fink-Puches R, Wolf P, Kerl H, Cerroni L. Lichen aureus. clinicopathologic features, natural history, and relationship to mycosis fungoides. Arch Dermatol. 2008; 144(9): 1169-1173. doi: 10.1001/archderm.144.9.1169
Yáñez Díaz S, Val-Bernal JF, Arce Mateos F, Navarro Baldeweg O. Liquen áureo o purpúrico Estudio de seis casos, tres con presentación zosteriforme [In Spanish]. Actas Dermosi-filiogr. 2002; 93(7): 437-442.
Jara M, Rivera T, Piqueras M, Zamora E, Burbujo J. Liquen áureo metamérico Presentación de tres casos [In Portuguese]. Actas Dermosifiliogr. 1998; 89: 480-483.
Shelley WB, Swaminathan R, Shelley ED. Lichen aureus: a hemosiderin tattoo associated with perforator vein incompe-tence. J Am Acad Dermatol. 1984; 11(2 pt 1): 260-264. doi: 10.1016/S0190-9622(84)70162-9
Hermoza Rodríguez J. Liquen aureus. Dermatol Per. 2003; 13(3): 223-224. Web site. http://200.62.146.19/BVRevistas/der-matologia/v13_n3/Pdf/a08.pdf. Accessed
González-Sixto B, García-Doval I, Conde A, et al. Lichen au-reus induced by interferon-alpha plus ribavirin. Acta DermVene-reol. 2007; 87(1): 87-98. doi: 10.2340/00015555-0187
Yazdi AS, Mayser P, Sander CA. Lichen aureus with clonal T cells in a child possibly induced by regular consumption of an energy drink. J Cutan Pathol. 2008; 35(10): 960-962. doi: 10.1111/j.1600-0560.2007.00918.x
Erbil H, Sezer E, Koseoglu D, Filiz N, Kurunlu Z, Bülent Tastan H. Coexistence of lichen aureus with familial Mediter-ranean fever. J Eur Acad Dermatol Venereol. 2007; 21(7): 1001- 1002. doi: 10.1111/j.1468-3083.2006.02075.x
Zaballos P, Puig S, Malvehy J. Dermoscopy of pigmented purpuric dermatoses (Lichen Aureus): a useful tool for clini-cal diagnosis. Arch Dermatol. 2004; 140(10): 1290-1291. doi: 10.1001/archderm.140.10.1290
Ling TC, Goulden V, Goodfield MJ. PUVA therapy in li-chen aureus. J Am Acad Dermatol. 2001; 45(1): 145-146. doi: 10.1067/mjd.2001.114560
Böhm M, Bonsmann G, Luger TA. Resolution of lichen aureus in a 10-year-old child after topical pimecrolimus. Br J Dermatol. 2004; 150(2): 519-520. doi: 10.1111/j.1365- 2133.2004.06155.x
Lee HW, Lee DK, Chang SE, et al. Segmental lichen au-reus: combination therapy with pentoxifylline and prostacyclin. J Eur Acad Dermatol Venereol. 2006; 20(10): 1378-1380. doi: 10.1111/j.1468-3083.2006.01732.x
Moche J, Glassman S, Modi D, Grayson W. Segmental li-chen aureus: a report of two cases treated with methylpredniso-lone aceponate. Austral J Dermatol. 2011; 52(2): e15-e18. doi: 10.1111/j.1440-0960.2010.00655.x
Chu Ch, Chou Ch Y. Segmental lichen aureus responsive to oral pentoxifylline monotherapy: a case report and literature review. J Am Acad Dermatol. 2016; 74(5): AB71. doi: 10.1016/j. jaad.2016.02.282 Dermatol Open J
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
All content published in Dermatology (DER) is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license allows anyone to copy, distribute, transmit, and adapt the work — including for commercial purposes — provided appropriate credit is given to the original author(s) and source.