Lichen aureus also called lichen purpuricus is an uncommon subtype of pigmented purpuric. Lichen purpuricus was first described in 1958 by martin as a case for diagnosis. It was described in 1957 by martin, 2 initially as a case for diagnosis. Lichen aureus is one of the rarest of the pigmented and purpuric dermatoses. Hyperpigmented patch on the leg amazon web services. It is more frequent in women 7080%, with a peak age of onset between 30 and 60 years.
The algesiogenic lichen aureus is a very rare dermatosis. Dermoscopy of pigmented purpuric dermatoses lichen aureus. Clinically, it usually effects children or young adults and presents as persistent rustcoloured plaques on the lower extremities. Clinically, it usually effects children or young adults and presents as persistent rustcoloured plaques on the lower extremities histology of lichen aureus. Jul 31, 20 dermatopathology reference describes lichen aureus histopathology including histologic features and provides links to additional medical references. Years later, calnan 3 used the term lichen aureus to describe a new case. Feb 15, 2019 lichen simplex chronicus lsc is thickening of the skin with variable scaling that arises secondary to repetitive scratching or rubbing. Vascular abnormalities in lichen aureus sciencedirect.
Lichen aureus carole hazan md, bill fangman md, david cohen md mph dermatology online journal 1. Rare familial cases of schamberg disease and majocchi disease have been reported in the literature, implying a genetic cause in a minority of patients. Histopathologic examination revealed a lichenoid, superficial, and deep perivascular. Recognition of tissue patterns of injury will help the nondermatopathologist when confronted with biopsies of vulvar inflammatory dermatoses. In addition, it can affect other parts of the body, such as the nails, scalp, vulva, vagina and penis. Oral lichen planus a study of associated factors with special reference to thyroid disease jairo robledosierra department of oral medicine and pathology, institute of odontology, sahlgrenska academy at university of gothenburg oral lichen planus olp is one of the most common and debilitating oral mucosal lesions in the adult population. Lichen aureus, named for its characteristic golden hue, is an uncommonly reported subset of the pigmented purpuras. We present the case of a 12yearold male who had a 1. Lichen aureus is a skin condition characterized by the sudden appearance of one or several golden or rustcolored, closely packed macules or lichenoid papules 830. Lichen aureus also called lichen purpuricus is an uncommon subtype of pigmented purpuric eruptions. In lichen aureus, sections typically show a distinct pattern of infiltration in all types of pigmented purpuric dermatitis, with infiltration around.
It frequently affects the inside of the mouth as well. Resolution of lichen aureus in a 10yearold child after topical pimecrolimus. Dermoscopy of lichen aureus europe pmc article europe pmc. David weedon ao md frcpa fcaphon, in weedons skin pathology third. Lichen aureus is a rare variant of pigmented purpura, with a chronic and benign course. Erythematous plaques on the hand and wrist mdedge dermatology. This was a retrospective monocentric study conducted in the department of dermatology, peking union medical college hospital. The disease is a variant of the pigmented purpuric. Lichen planus lichen planus lp is a disease of the skin andor mucous membranes that resembles lichens. Lichen sclerosus is a relatively common chronic condition classically associated with the vulva. Lichen aureus falls within pigmented purpura dermatoses or chronic.
Dermoscopy findings are useful to confirm clinical diagnosis. Lichen aureus, as its name suggests, presents with yellowish or red papules or patches which may either itch or be asymptomatic. Lichen planopilaris, a subtype of lichen planus, is an inflammatory condition characterized by patchy or diffuse hair loss with erythematous papules and keratotic follicular lesions that evolve to cicatricial alopecia 2 history. Pdf a case of lichen aureus is described to record its clinical and histopathologic features. Hyperpigmented patch on the leg mdedge dermatology. David weedon ao md frcpa fcaphon, in weedons skin pathology third edition, 2010. Although rare, it represents 25% of the cases of cicatricial alopecia. Other authors suggested the name lichen purpuricus 4 which is also used in the literature.
The lesions frequently occur bilaterally on the lower limbs, although can be unilateral and may affect the trunk and upper limbs. Lichen aureus is a special localized variant of purpura pigmentosa chronica. The authors also found that 20% of cases of malignant transformation involved the gingival mucosa, further reinforcing the importance of histopathology in the final diagnosis of this disease. The leading primary care society for dermatology and skin surgery. Lichen aureus, also referred to as lichen purpuricus, is one major variant of ppd. There seems to be a relationship between the oral form and the skin form of lichen planus. Linear or segmental presentations have also been described. Additional and relevant useful information for lichen aureus. It is thought to be the result of an autoimmune process with an unknown initial trigger. The skin biopsy shows a benign epidermis with a superficial perivascular lymphocytic infiltrate in the dermis. Where the trigger is known, a lesion is known as a lichenoid. The diagnosis is made on the basis of clinical and histopathological features.
Pdf lichen aureus also called lichen purpuricus is an. Macular arteritis mimicking pigmented purpuric dermatosis in a 6yearold caucasian girl. There is irregular epidermal hyperplasia forming a characteristic sawtooth appearance with wedgeshaped hypergranulosis. A case of pigmented purpuric dermatosis similar to mycosis. Lichen aureus is a skin condition characterized by the sudden appearance of one or several golden or rustcolored, closely packed macules or lichenoid papules 830 see also. Lichen aureus is a related entity that causes excessive accumulation of hemosiderin, which causes a goldenyellow or goldenbrown color. The name reflects both the characteristic golden brown color and the histopathologic pattern of inflammation. It is general it is general ly asymptomatic and often occurs in the lower limbs, presenting as erythematous brownish, coppery or golden. A 76yearold man has been followed in the new york university dermatologic associates for a history of basalcell carcinoma. Aug 12, 2019 the cause of pigmented purpuric dermatoses is unknown. The aetiology is unclear and treatment is disappoint. Lichen planus is a relatively common inflammatory disease that affects the skin andor inside the mouth, resulting in distinctive skin andor oral lesions. If it occurs in the mouth, the membranes appear gray and lacy. This term includes schamberg disease, majocchi disease, pigmented purpuric lichenoid dermatosis of gougerot and blum, itching purpura, eczematid like purpura of doucas and kapetanakis, lichen aureus 7.
Algesiogenic lichen aureus liquen aureus algesiogenico. On the glans penis it was referred to as balanitis xerotica obliterans, abbreviated bxo. This group is composed of schambergs pigmented purpura, gourgeotblum disease, kapetanaski disease and majocchi purpura. Lichen aureus pathology, pigmented purpuric dermatitis pathology, capillaritis pathology. When a pathologist examines a biopsy sample specimen of an individual with lichen aureus, the following findings may be noted. Scanning power view of lichen planus shows a lichenoid reaction pattern figure 1 characterised by the combination of degeneration of the basal layer of the epidermis and a band like lymphocytic infiltrate obscuring the dermoepidermal junction. Lichen sclerosis natural treatment, alternative remedy. D lichen sclerosus is a chronic inflammatory disorder of the skin and mucosa, presenting to genitourinary physicians and dermatologists. Lichen planus is a long standing, itchy skin disease of unknown cause. During a 10month period, the authors united kingdom hospitalbased dermatology practice, which. In lichen aureus, sections typically show a distinct pattern of infiltration in all types of pigmented purpuric. Lichen aureus histopathology using the perls prussian blue.
On the vulva is also known as chronic atrophic vulvitis. Lichen simplex chronicus lsc is thickening of the skin with variable scaling that arises secondary to repetitive scratching or rubbing. A patient presented with an unusual striate and segmental or zosteriform distribution of lichen aureus involving the left leg and lower abdominal area. Lichen aureus is a distinct subtype of pigmented purpuric dermatosis. The onset is sudden, but the course is chronic and can progress slowly or stabilize. This is especially true if the biopsy specimen is inadequate, and the clinical history and pattern of the alopecia are not known. Lichen planopilaris, also called follicular lichen or follicular lichen planus, was initially described by pringle in 1895. Rather, a person senses pruritus in a specific area of skin with or without underlying pathology and causes mechanical trauma to the point of lichenification. It is a chronic dermatological condition of unknown cause, which results in purpuric, rust or golden coloured ovoid or nummular patches usually over the lower limbs. Lichen aureus is a variant of chronic pigmented purpura. Though the etiopathogenesis of ppds is not clearly known, it was reported to be triggered by the. Histology showed a lichenoid infiltrate with extrava sation of red blood cells and haemosiderin deposition. Diagnosis the clinical presentation of numerous, small, nonpalpable purpuric lesions on the lower extremities, often with a sprinkled or vaguely annular appearance, is diagnostic of ppp.
Lichen aureus with clonal t cells in a child possibly induced by regular consumption of an energy drink. Oct 28, 2018 additional and relevant useful information for lichen aureus. Soepronos textbook is available on and includes detailed information on over 600 entities and includes four dvd diskettes with highresolution images that provide a virtual dermatopathology reference and guide. Pigmented purpuric dermatoses information and causes patient. Lichen aureus is a related entity that causes excessive accumulation of. Histopathology shows mild or no epidermal alteration. Histopathology may show hemorrhage, a mild perivascular infiltrate, or a leukocytoclastic vasculitis image shows dilated superficial capillaries, extravasation of red blood cells, and sparse mononuclear infiltrate. Approximately 50% of vulvar cancer associated with lichen sclerosus. Pathology of lichen planopilaris top 8 facts dr sampurna. Authoritative facts about the skin from dermnet new zealand. Lichen aureus also called lichen purpuricus is an uncommon subtype of pigmented purpuric dermatosis. Lichen aureus falls within pigmented purpura dermatoses or chronic pigmented purpuras, and it is a rare capillaritis of unknown cause. Lichen sclerosus or sclerosis treatment, info on lichen planus july 17 2017 by ray sahelian, m.
606 332 1463 604 357 786 793 842 144 1074 1534 220 1269 796 1312 527 1065 386 1410 1000 163 1197 1208 415 154 612 996 295 840 1402 754 1382 1383 726 649 955 1276 968 795 556 1254 641 1339 121 533 521 746 319 202 202