Linear lichen planus: a case report

Yıl 2015, Cilt: 4 Sayı: 1, 70 - 76, 25.06.2016

Didem Mullaaziz , Aslı Feride Kaptanoğlu , Hanife Özkayalar

Öz

Abstract

Lichen planus (LP) is an inflammatory skin disease which is often seen in middle ages and affects the skin, mucous membranes, nails and scalp. Etiology is not clear and there are different clinical types of the disease which are named according to localization, distribution and morphological characteristics of the lesion. Linear lichen planus (LLP) is a rare variant of LP that is characterized by lichenoid, pruritic, violaceous papules, arranging in a linear pattern. Unilateral linear strip-like or segmental lesions follow the lines of Blaschko but does not demonstrate dermatomal distribution. Lichen striatus, linear lichen nitidus, inflammatory linear verrucous epidermal nevus, linear psoriasis, lichen simplex chronicus, incontinensia pigments, linear contact dermatitis can be considered in differential diagnosis. In this case, a case of 24 year-old woman with lesions on left arm is presented and differential diagnosis of this rare clinical form is discussed.

Keywords: Linear lichen planus

Özet

Liken planus (LP), orta yaşlarda sık olan ve deri, mukoza, tırnak ve saçlı deriyi tutan inflamatuvar bir deri hastalığıdır. Etiyolojisi belli olmayan bu hastalığın, lezyonlarının lokalizasyon, yayılım ve morfolojik özelliklerine göre farklı klinik tipleri tanımlanır. Lineer liken planus (LLP) bu hastalığın nadir bir formudur. LLP lineer olarak dizilen likenoid, prüritik, violasöz papuller ile dikkati çeker. Unilateral lineer şerit şeklinde veya segmental lezyonlar Blaschko çizgilerini izler ama dermatomal yayılım göstermez. Liken striatus, linear liken nitidus, inflamatuvar lineer verrüköz epidermal nevus, lineer psoriasis, liken simpleks kronikus, inkontinensiya pigmenti, lineer kontakt dermatit ayırıcı tanıda düşünülmelidir. Bu olgu sunumunda 24 yaşında bir kadının sol kolundaki lezyonların ayırıcı tanısı ve nadir görülen LLP hastalığının klinik özellikleri irdelenmiştir.

Anahtar sözcükler: Lineer liken planus

Kaynakça

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