A case of linear lichen planus: Using the accurate nomenclature

Öz

Linear lichen planus (LLP) is a rare variant of lichen planus that is characterized by lichenoid, pruritic, violaceous papules, arranging in a linear pattern. When lichen planus is localized in a dermatomal pattern or Blaschcoid lines, incorrect nomenclature has been used and mistakes have been made in terminology. It should be known that there is not a dermatomal arrangement; however, Blaschko lines have been followed in the definition of linear lichen planus. We should avoid the zosteriform term when there is not a previous story of herpes zoster infection. Here we present a case of 40-year-old man that has lesions in two different Blaschko lines and investigate this complexity in terminology. J Clin Exp Invest 2013; 4 (4): 529-531

Anahtar Kelimeler

• Lichen planus, linear, terminology

A case of linear lichen planus: Using the accurate nomenclature

Öz

Lineer liken planus (LLP), liken planusun lineer dizilmiş, kaşıntılı, likenoid görünümlü, violese renkli papüller ile karakterize nadir bir varyantıdır. Liken planus\'da dermatomal ya da Blaschko çizgilerine uygun yerleşim olduğunda yanlış adlandırmalar, terminolojide hatalar olmaktadır. LLP denildiğinde dermatomal bir düzenlenmenin olmadığını, ancak Blaschko çizgilerinin takip edildiğinin bilinmesi gerekmektedir. O bölgede geçirilmiş zona enfeksiyonu olmadığında, sıklıkla zosteriform olarak ifade edilen adlandırmadan kaçınılması gerektiği önerilmektedir. Burada iki farklı Blaschko hattında lezyonları olan 40 yaşında lineer liken planuslu olgu sunularak terminolojideki bu karmaşa tekrar irdelenecektir.

Anahtar Kelimeler

• Liken planus, lineer, terminoloji

Kaynakça

1. Kabbash C, Laude TA, Weinberg JM, Silverberg NB. Li- chen planus in the lines of Blaschko. Pediatr Dermatol 2002;19:541-545.
2. Hartl C, Steen KH, Wegner H, et al. Unilateral linear lichen planus with mucous membrane involvement. Acta Derm Venereol 1999;79:145-146.
3. Turel A, Ozturkcan S, Sahin MT, Turkdogan P. Wolf’s isotopic response: a case of zosteriform lichen pla- nus. J Dermatol 2002;29:339-342.
4. Shemer A, Weiss G, Trau H. Wolf’s isotopic response: a case of zosteriform lichen planus on the site of healed herpes zoster. J Eur Acad Dermatol Venereol 2001;15:445-447.
5. Happle R. ‘Zosteriform’ lichen planus: is it zosteriform? Dermatology 1996;192:385-386.
6. Happle R. ‘Zosteriform’ lichen planus: the bizarre consequences of a misnomer. Acta Derm Venereol 1998;78:300.
7. Lutz ME, Perniciaro C, Lim KK. Zosteriform lichen pla- nus without evidence of herpes simplex virus or vari- cella-zoster virus by polymerase chain reaction. Report of two cases. Acta Derm Venereol 1997;77:491-492.
8. Braun RP, Barua D, Masouye I. Zosteriform lichen pla- nus after herpes zoster. Dermatology 1998;197:87-88.

9. Ber Rahman S, Ul Bari A, Mumtaz N. Unilateral Blasch- koid lichen planus involving the entire half of the body, a unique presentation. Dermatol Online J 2007;13:36.
10. Bolognia JL, Orlow SJ, Glick SA. Lines of Blaschko. J Am Acad Dermatol 1994;31:157-190.
11. Grosshans E, Marot L. Blaschkitis in adults. Ann Der- matol Venereol 1990;117:9-15.