Öz
Lichen aureus is a rare variant of pigmented purpuric dermatosis, which often affects young adults and is localized mainly on the lower extremities. We present here a 31-year-old female who had a solitary golden-brown-color patch on her right leg for 1 year. Punch biopsy of the lesion revealed lymphohistiocytic band-like infiltrate of the papillary dermis with erythrocyte extravasation and hemosiderin deposits. The diagnosis of Lichen aureus was made based on clinicopathologic findings. The dermoscopic findings that support this diagnosis were brownish yellow diffuse coloration of the background, round to oval red dots, globules and patches and twisted red loops. Herein, we present the dermoscopic findings of a 31-year-old female patient with a diagnosis of lichen aureus established with clinical and histopathological features.
Anahtar Kelimeler
Kaynakça
- Portela PS, Melo DF, Ormiga P, Oliveira FJDC, Freitas NCD, Bastos Jşnior CS. Dermoscopy of lichen aureus. An Bras Dermatol 2013;88:253–255. https://doi.org/10.1590/s0365-05962013000200013
- Zhao YK, Luo DQ, Sarkar R, Xie WL. Segmental lichen aureus in a young woman with spontaneous improvement. J Dtsch Dermatol Ges 2014;12:260– 262. https://doi.org/10.1111/ddg.12236
- Aung PP, Burns SJ, Bhawan J. Lichen Aureus: An Unusual Histopathological Presentation A Case Report and a Review of Literature. Am J Dermatopathol 2014;36:e1–e4. https://doi.org/10.1097/dad.0b013e31828b4428
- Gönül M, Külcü Çakmak S, Özcan N, Oğuz ID, Gül Ü, Bıyıklı Z. Clinical and laboratory findings of pigmented purpuric dermatoses. Ann Dermatol 2014;26:610–614. https://doi.org/10.5021/ad.2014.26.5.610
- Ozkaya DB, Emiroglu N, Su O, Cengiz FP, Bahali AG, Yildiz P, et al. Dermatoscopic findings of pigmented purpuric dermatosis. An Bras Dermatol 2016;91:584–587. https://doi.org/10.1590/abd1806-4841.20165124
- Mahajan VK, Chauhan P. Lichen aureus. Indian J Pediatr 2014;81:420–421. https://doi.org/10.1007/s12098-013-1167-8
- Zaballos P, Puig S, Malvehy J. Dermoscopy of pigmented purpuric dermatoses lichen aureus : a useful tool for clinical diagnosis. Arch Dermatol 2004;140:1290–1291. https://doi.org/10.1001/archderm.140.10.1290
- Külcü Çakmak S, Kılıç A, Yorulmaz A, Onan D, Yayla D, Artüz F. Dermoscopic findings in patients with pigmented purpuric dermatoses. Acta Dermatovenerol Croat 2016;24:291–295. https://pubmed.ncbi.nlm.nih.gov/28128081/
- Fujimoto N, Nagasawa Y, Tachibana T, Inoue T, Tanaka M, Tanaka T. Dermoscopy of lichen aureus. J Dermatol 2012;39:1050–1052. https://doi. org/10.1111/j.1346-8138.2012.01603.x
- Hanna S, Walsh N, D’Intino Y, Langley RGB. Mycosis fungoides presenting as pigmented purpuric dermatitis. Pediatr Dermatol 2006;23:350–354. https://doi. org/10.1111/j.1525-1470.2006.00259.x
- Murota H, Katayama I. Lichen aureus responding to topical tacrolimus treatment. J Dermatol 2011;38:823–825. https://doi.org/10.1111/j.1346- 8138.2010.01080.x
Öz
Liken aureus, genellikle genç yetişkinleri etkileyen ve çoğunlukla alt ekstremiteye lokalize nadir bir pigmente purpurik dermatoz varyantıdır. Bu vaka sunumunda, sağ bacağında 1 yıldır, soliter açık kahverengi yama şeklinde bir lezyon bulunan 31 yaşında bir kadın hasta sunuyoruz. Lezyonun ‘punch’ biyopsisinde, papiller dermiste lenfohistiyositik bant benzeri infiltrasyon, eritrosit ekstravazasyonu ve hemosiderin birikimi görüldü. Klinikopatolojik bulgulara dayanarak, liken aureus tanısı kondu. Bu teşhisi destekleyen dermoskopik bulgular, arka planda kahverengimsi sarı yaygın renk değişikliği, yuvarlak-oval kırmızı dot’lar, globüller yamalar ve kıvrımlı kırmızı halkalardı. Burada, klinik ve histopatolojik özelliklerle liken aureus tanısı alan 31 yaşındaki kadın hastanın dermoskopik bulgularını sunuyoruz.
Anahtar Kelimeler
Kaynakça
- Portela PS, Melo DF, Ormiga P, Oliveira FJDC, Freitas NCD, Bastos Jşnior CS. Dermoscopy of lichen aureus. An Bras Dermatol 2013;88:253–255. https://doi.org/10.1590/s0365-05962013000200013
- Zhao YK, Luo DQ, Sarkar R, Xie WL. Segmental lichen aureus in a young woman with spontaneous improvement. J Dtsch Dermatol Ges 2014;12:260– 262. https://doi.org/10.1111/ddg.12236
- Aung PP, Burns SJ, Bhawan J. Lichen Aureus: An Unusual Histopathological Presentation A Case Report and a Review of Literature. Am J Dermatopathol 2014;36:e1–e4. https://doi.org/10.1097/dad.0b013e31828b4428
- Gönül M, Külcü Çakmak S, Özcan N, Oğuz ID, Gül Ü, Bıyıklı Z. Clinical and laboratory findings of pigmented purpuric dermatoses. Ann Dermatol 2014;26:610–614. https://doi.org/10.5021/ad.2014.26.5.610
- Ozkaya DB, Emiroglu N, Su O, Cengiz FP, Bahali AG, Yildiz P, et al. Dermatoscopic findings of pigmented purpuric dermatosis. An Bras Dermatol 2016;91:584–587. https://doi.org/10.1590/abd1806-4841.20165124
- Mahajan VK, Chauhan P. Lichen aureus. Indian J Pediatr 2014;81:420–421. https://doi.org/10.1007/s12098-013-1167-8
- Zaballos P, Puig S, Malvehy J. Dermoscopy of pigmented purpuric dermatoses lichen aureus : a useful tool for clinical diagnosis. Arch Dermatol 2004;140:1290–1291. https://doi.org/10.1001/archderm.140.10.1290
- Külcü Çakmak S, Kılıç A, Yorulmaz A, Onan D, Yayla D, Artüz F. Dermoscopic findings in patients with pigmented purpuric dermatoses. Acta Dermatovenerol Croat 2016;24:291–295. https://pubmed.ncbi.nlm.nih.gov/28128081/
- Fujimoto N, Nagasawa Y, Tachibana T, Inoue T, Tanaka M, Tanaka T. Dermoscopy of lichen aureus. J Dermatol 2012;39:1050–1052. https://doi. org/10.1111/j.1346-8138.2012.01603.x
- Hanna S, Walsh N, D’Intino Y, Langley RGB. Mycosis fungoides presenting as pigmented purpuric dermatitis. Pediatr Dermatol 2006;23:350–354. https://doi. org/10.1111/j.1525-1470.2006.00259.x
- Murota H, Katayama I. Lichen aureus responding to topical tacrolimus treatment. J Dermatol 2011;38:823–825. https://doi.org/10.1111/j.1346- 8138.2010.01080.x
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 25 Aralık 2020 |
| Yayımlandığı Sayı | Yıl 2020 |