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Kelati A, Rasso A, Chiheb S. Dermoscopy of Actinic Lichen Planus in Skin of Color. Dermatol Pract Concept 2024; 14:dpc.1402a101. [PMID: 38810036 PMCID: PMC11136104 DOI: 10.5826/dpc.1402a101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/12/2023] [Indexed: 05/31/2024] Open
Abstract
INTRODUCTION Actinic Lichen Planus (ALP) is a rare photosensitive variant of lichen planus. Four subtypes can be distinguished: pigmented, annular (AALP), plaque-like and dyschromic ALP. METHODS This is a retrospective; descriptive and analytical study investigating the dermoscopic patterns of different subtypes of ALP in skin of color. RESULTS Sixteen adult patients were included in this study; the majority of them were young females, while five patients with the pigmented subtype of ALP were more than 50 years old. This subtype was more prevalent in patients with phototype IV. AALP was described in men with a very dark phototype.In pigmented melasma-like ALP, dermoscopy showed an annular granular pattern, white reticular and circular Wickham striae (WS) with hypopigmentation lacking skin creases, dots inside circles and an eccentric pigmentation on circles. In ALP, annular, circular WS; and perifollicular white halos with follicular plugs were described. The black hole pattern with dotted vessels was seen in the dyschromic ALP. White-yellow-bluish WS were noticed in plaque-type ALP with circumferential radial lines at the periphery. CONCLUSIONS This descriptive study of dermoscopic patterns of various subtypes of ALP in skin of color highlighted new dermoscopic descriptions that vary according to the clinical variant or the morphology; lesions distribution; and phototype. Also, many epidemiological differences were found between our results and the literature concerning the older age of onset in melasma-like pigmented ALP, and the male predominance in annular ALP.
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Affiliation(s)
- Awatef Kelati
- Dermatology Department, University Hospital Cheikh khalifa, and the University Hospital Mohammed VI. Faculty of Medicine, Mohammed VI University of Health and sciences (UM6SS), Casablanca, Morocco
| | - Asmae Rasso
- Dermatology Department, Provincial Hospital of Tantan, Tantan, Morocco
| | - Soumia Chiheb
- Dermatology Department, University Hospital Cheikh khalifa, and the University Hospital Mohammed VI. Faculty of Medicine, Mohammed VI University of Health and sciences (UM6SS), Casablanca, Morocco
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Gökşin Ş, Aksoy S, Duygulu Ş, Demirkan NÇ. Familial Actinic Lichen Planus: Three Cases from the Same Family. Ann Dermatol 2022; 34:370-373. [PMID: 36198628 PMCID: PMC9561304 DOI: 10.5021/ad.20.153] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Revised: 08/25/2020] [Accepted: 08/31/2020] [Indexed: 12/04/2022] Open
Abstract
Actinic lichen planus (ALP) that affects sun-exposed areas of the skin is an uncommon variant of lichen planus. While ALP is commonly triggered by ultraviolet radiation exposure, genetic predisposition may also be important in the pathogenesis of the disease. Herein, we report three patients with ALP from the same family, which supports the genetic etiopathogenetic factors of ALP.
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Affiliation(s)
- Şule Gökşin
- Department of Dermatology, Medical Faculty, Pamukkale University, Denizli, Turkey.
| | - Sadrettin Aksoy
- Department of Dermatology, Medical Faculty, Pamukkale University, Denizli, Turkey
| | - Şeniz Duygulu
- Department of Dermatology, Medical Faculty, Pamukkale University, Denizli, Turkey
| | - Neşe Çallı Demirkan
- Department of Pathology, Medical Faculty, Pamukkale University, Denizli, Turkey
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3
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Kemeriz F, Acar EM, Ordu M, Kilitçi A. Lichen planus actinicus treated successfully with topical tacrolimus 0.1%: A report of six cases. Dermatol Ther 2020; 33:e13882. [PMID: 32557926 DOI: 10.1111/dth.13882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 06/03/2020] [Accepted: 06/17/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Funda Kemeriz
- Department of Dermatology, Aksaray University Faculty of Medicine, Aksaray, Turkey
| | - Emine Müge Acar
- Department of Dermatology, Ahi Evran University Faculty of Medicine, Kırşehir, Turkey
| | - Melike Ordu
- Department of Pathology, Aksaray University Faculty of Medicine, Aksaray, Turkey
| | - Asuman Kilitçi
- Department of Pathology, Ahi Evran University Faculty of Medicine, Kırşehir, Turkey
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Husein‐ElAhmed H, Gieler U, Steinhoff M. Lichen planus: a comprehensive evidence‐based analysis of medical treatment. J Eur Acad Dermatol Venereol 2019; 33:1847-1862. [DOI: 10.1111/jdv.15771] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2018] [Accepted: 06/21/2019] [Indexed: 12/15/2022]
Affiliation(s)
- H. Husein‐ElAhmed
- Department of Dermatology and Venereology Hospital de Baza Granada Spain
- Translational Research Institute Academic Health System Medical School Hamad Medical Corporation Doha Qatar
| | - U. Gieler
- Translational Research Institute Academic Health System Medical School Hamad Medical Corporation Doha Qatar
- Department of Dermatology and Venereology Hamad Medical Corporation Doha Qatar
| | - M. Steinhoff
- Translational Research Institute Academic Health System Medical School Hamad Medical Corporation Doha Qatar
- Department of Dermatology and Venereology Hamad Medical Corporation Doha Qatar
- College of Medicine Weill Cornell Medicine‐Qatar Doha Qatar
- Medical School Qatar University Doha Qatar
- College of Medicine Weill Cornell University New York NY USA
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Venturini M, Manganoni AM, Zanca A, Bassissi S, Pavoni L, Gonzales S, Cesinaro A, Calzavara-Pinton P. Pigmented actinic lichen planus (PALP) mimicking lentigo maligna melanoma: Usefulness of in vivo reflectance confocal microscopy in diagnosis and follow-up. JAAD Case Rep 2018; 4:568-572. [PMID: 29998176 PMCID: PMC6038262 DOI: 10.1016/j.jdcr.2018.02.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Affiliation(s)
- Marina Venturini
- Dermatologic Clinic, ASST Spedali Civili of Brescia, Brescia, Italy
| | | | - Arianna Zanca
- Dermatologic Clinic, ASST Spedali Civili of Brescia, Brescia, Italy
| | | | - Laura Pavoni
- Dermatologic Clinic, ASST Spedali Civili of Brescia, Brescia, Italy
| | - Salvador Gonzales
- Dermatology Service, Memorial Sloan-Kettering Cancer Center, New York, New York
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Abstract
Photoaggravated skin disorders are diseases that occur without UV radiation but are sometimes or frequently exacerbated by UV radiation. In conditions, such as lupus erythematosus, photoaggravation occurs in a majority of patients, whereas in conditions, such as psoriasis and atopic dermatitis, only a subset of patients demonstrate photoaggravation. Polymorphous light eruption is a common photodermatosis in all skin types, making it important to differentiate photoaggravation of an underlying disorder, such as lupus erythematosus, from superimposed polymorphous light eruption. Disease-specific treatments should be instituted where possible. A key component of management of photoaggravated conditions is photoprotection with behavioral change, UV-protective clothing, and broad-spectrum sunscreen.
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Affiliation(s)
- Susan M O'Gorman
- Dermatology Department, Beaumont Hospital, Beaumont Road, Beaumont, Dublin 9, Ireland.
| | - Gillian M Murphy
- Dermatology Department, Beaumont Hospital, Beaumont Road, Beaumont, Dublin 9, Ireland; National Photodermatology Unit, Dermatology Department, Mater Misericordiae University Hospital, Eccles Street, Dublin 7, Ireland
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7
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Collgros H, Vicente A, González-Enseñat MA, Azón-Masoliver A, Rovira-Zurriaga C. Childhood actinic lichen planus: four cases report in Caucasian Spanish children and review of the literature. J Eur Acad Dermatol Venereol 2014; 30:518-22. [PMID: 25510518 DOI: 10.1111/jdv.12917] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- H Collgros
- Department of Dermatology, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain
| | - A Vicente
- Department of Dermatology, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain
| | - M A González-Enseñat
- Department of Dermatology, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain
| | - A Azón-Masoliver
- Department of Dermatology, Hospital Sant Joan, Universitat Rovira i Virgili, Reus (Tarragona), Spain
| | - C Rovira-Zurriaga
- Department of Pathology, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain
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8
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Ghosh A, Das A, Kumar D, Gharami RC. Actinic lichen planus: a presentation, deviant from the conventional. World J Dermatol 2014; 3:4-5. [DOI: 10.5314/wjd.v3.i1.4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2013] [Revised: 11/14/2013] [Accepted: 12/13/2013] [Indexed: 02/06/2023] Open
Abstract
Actinic lichen planus, a variant of lichen planus usually in people living in the tropics, presents as annular or discoid patches over the sun-exposed regions. We present here a case of actinic lichen planus with papules and plaques over the malar region and dorsum of nose - a rare presentation of this entity.
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Santos-Juanes J, Mas-Vidal A, Coto-Segura P, Sánchez del Río J, Galache Osuna C. Pigmented actinic lichen planus successfully treated with intense pulsed light. Br J Dermatol 2010; 163:662-3. [DOI: 10.1111/j.1365-2133.2010.09857.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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10
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Tomb R, Soutou B. [Recurrent summer rash]. Ann Dermatol Venereol 2008; 135:873-4. [PMID: 19084705 DOI: 10.1016/j.annder.2008.03.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2007] [Accepted: 03/13/2008] [Indexed: 10/22/2022]
Affiliation(s)
- R Tomb
- Hôtel-Dieu de France, B.P. 16-6830 Achrafieh, Beyrouth, Liban.
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11
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Lichen plan actinique de l’enfant (à propos de 6cas). Arch Pediatr 2008; 15:111-4. [DOI: 10.1016/j.arcped.2007.10.020] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2007] [Revised: 09/29/2007] [Accepted: 10/29/2007] [Indexed: 11/20/2022]
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12
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Gallo L, Ayala F, Ayala F. Relapsing lichen actinicus successfully treated with cyclosporin. J Eur Acad Dermatol Venereol 2007; 22:370-1. [PMID: 18005120 DOI: 10.1111/j.1468-3083.2007.02325.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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