Actinic Lichen Nitidus with Dermoscopic Features, and Response to Hydroxychloroquine

Authors

  • Smriti Shrestha Department of Dermatology, School of Medical Sciences, Kathmandu University, Dhulikhel, Kavrepalanchok, Nepal
  • Aditi Mishra Department of Dermatology, School of Medical Sciences, Kathmandu University, Dhulikhel, Kavrepalanchok, Nepal

DOI:

https://doi.org/10.17140/TCOJ-3-112

Keywords:

Actinic, Dermoscopy, Histopathology, Hydroxychloroquine, Lichen nitidus

Abstract

Lichen nitidus (LN) is an entity of unknown etiology, with typical morphology and histology. Actinic lichen nitidus (ALN) is
rare. It presents as typical lesions of LN in photodistribution, with classical histology. Dermoscopic findings in LN has been
documented in very few cases in literature. We present a case of ALN with koebnerization, characteristic histology and dermo
scopic features. Dermoscopy revealed round, bluish white streaks in “fern leaf” pattern in the background of brownish reticular
network. Our patient responded well to hydroxychloroquine and photoprotection.

References

Synakiewicz J, Polańska A, Monika BD, et al. Generalized lichen nitidus: A case report and review of the literature. Postepy Dermatol Alergol. 2016; 33(6): 488-490. doi: 10.5114/ada.2016.63890

Summey BT, Cusack CA. Actinic lichen nitidus. Cutis. 2008; 81(3): 266-268.

Bedi TR. Summertime actinic lichenoid eruption. Dermatologica. 1978; 157(2): 115-125. doi: 10.1159/000250816

Hussain K. Summertime actinic lichenoid eruption, a distinct entity, should be termed actinic lichen nitidus. Arch Dermatol. 1998; 134(10): 1302-1303. doi: 10.1001/archderm.134.10.1302

Qian G, Wang H, Wu L, Meng Z, Xiao C. Different dermo-scopic patterns of palmoplantar and nonpalmoplantar lichen niti-dus. J Am Acad Dermatol. 2015; 73(3): e101-e103. doi: 10.1016/j. jaad.2015.06.024

Cheng CY, Chiu CS, Huang YH. Palmar purpuric lichen niti-dus—clinicopathological and dermoscopic findings. Dermatologica Sinica. 2013: 31(3); e137-e139. doi: 10.1016/j.dsi.2012.09.006

Pinkus F. Über eine neue knötchenförmige hauteruption: Li-chen nitidus. Arch Dermatol Syph. 1907; 85: 11-36. doi: 10.1007/ BF01835934

Chen W, Schramm M, Zouboulis CC. Generalized lichen nitidus. J Am Acad Dermatol. 1997; 36(4): 630-631.

Black MM. Lichen planus and lichenoid disorders. In: Champion RH, Burton JL, Ebling FJG (eds) Textbook of Dermatology 5th Ed. New Jersey, USA: Blackwell Scientific Publication. 1992.

Glorioso S, Jackson S, Kopel A, Lewis V, Nicotri T. Actinic Li-chen Nitidus in 3 African American Patients. J Am Acad Dermatol. 2006; 54(2): S48-S49. doi: 10.1016/j.jaad.2005.06.018

Isaacson D, Turner ML, Elgart ML. Summertime actinic li-chenoid eruption (lichen planus actinicus). J Am Acad Dermatol. 1981; 4(4): 404-411. doi: 10.1016/S0190-9622(81)70038-0

Blalock T, Kannan S, Davis LS. Actinic lichen nitidus. Dermatol Reports. 2010; 3(2): e10. doi: 10.4081/dr.2010.e10

Al-Mutairi N, Hassanein A, Nour-Eldin O, Arun J. General-ized lichen nitidus. Pediatr Dermatol. 2005; 22(2): 158-160. doi: 10.1111/j.1525-1470.2005.22215.x

Tan C, Min ZS, Xue Y, Zhu WY. Spectrum of dermoscopic patterns in lichen planus: A case series from China. J Cutan Med Surg. 2014; 18(1): 28-32. doi: 10.2310/7750.2013.13049

Friedman P, Sabban EC, Marcucci C, Peralta R, Cabo H. Der-moscopic findings in different clinical variants of lichen planus. Is dermoscopy useful? Dermatol Pract Concept. 2015; 5(4): 51-55. doi: 10.5826/dpc.0504a13

Vázquez-López F, Gómez-Díez S, Sánchez J, Pérez-Oliva N. Dermoscopy of active lichen planus. Arch Dermatol. 2007; 143(8): 1092. doi: 10.1001/archderm.143.8.1092

Güngör Ş, Topal IO, Göncü EK. Dermoscopic patterns in active and regressive lichen planus and lichen planus variants: a morphological study. Dermatol Pract Concept. 2015; 5(2): 45-53. doi: Submit your article to this journal | https://openventio.org/submit-manuscript/ 14 Shrestha S, et al 10.5826/dpc.0502a06

Garg P, Kaur T, Malhotra SK, Singh A. Study of the dermo-scopic findings and their correlation with histopathological find-ings in various lichenoid dermatoses. J Clin Exp Dermatol . 2015; Res 6:308. doi: 10.4172/2155-9554.10000308

Bouras M, Benchikhi H, Ouakkadi A, Zamiati S. Facial actinic lichen nitidus successfully treated with hydroxychloroquin: A case report. Dermatol Online J. 2013; 19(11): 20406. Case Report | Volume 1 | Issue 2 |

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Published

2019-02-01

How to Cite

Smriti Shrestha, & Aditi Mishra. (2019). Actinic Lichen Nitidus with Dermoscopic Features, and Response to Hydroxychloroquine. Trichology and Cosmetology , 3(1), 11–14. https://doi.org/10.17140/TCOJ-3-112