Lichen spinulosus
Clinical
Features
Variants
Images
Differential
Histology
Features
Variants
Images
Differential
Pathophysiology
Epidemiology
Associations
Workup
Labs
Imaging
Diagnostic criteria
Management
Treatment
Monitoring
Counseling
Other considerations
| Lichen spinulosus | |
|---|---|
| Other names | Keratosis spinulosa[1]: 776 |
| Specialty | Dermatology |
Lichen spinulosus is a rare skin disorder characterized by follicular keratotic papules that are grouped into large patches.[2] It is a variant of keratosis pilaris named for its resemblance to a patch of lichen.
Signs and symptoms
It appears as a cluster of keratotic spines that resemble sandpaper and 2–5 cm hypopigmented or skin-colored follicular papules.[citation needed] The lesions typically appear on different parts of the skin and last for a few weeks or months.[3]
Causes
It could be inherited or linked to substances like gold, arsphenamine, thallium, vitamin A deficiency, diphtheria toxin, atopy, lithium medication, Hodgkin's disease, Crohn's disease, HIV, or alcoholism.[3]
Diagnosis
The histologic observations reveal a dermal lymphohistiocytic infiltration focused around hair follicles.[3]
Treatment
Treatments include topical keratolytics and emollients such as urea, adapalene, salicylic acid, vitamin A, tretinoin, and tacalcitol.[3]
See also
References
- ↑ James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. ISBN 0-7216-2921-0.
- ↑ Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 978-1-4160-2999-1.
- ↑ 3.0 3.1 3.2 3.3 Aghighi, Maryam; Pukhalskaya, Tatsiana; Brickley, Sylvana; Smoller, Bruce (2020-06-12). "An Uncommon Case of Lichen Spinulosus in an Adult Patient Clinically Mmimicking Folliculotropic Mycosis Fungoides". Cureus. 12 (6). Springer Science and Business Media LLC: e8572. doi:10.7759/cureus.8572. ISSN 2168-8184. PMC 7358940. PMID 32670708.
Further reading
- SJ, Friedman (1990). "Lichen spinulosus. Clinicopathologic review of thirty-five cases". Journal of the American Academy of Dermatology. 22 (2 Pt 1). J Am Acad Dermatol: 261–264. ISSN 0190-9622. PMID 2179296. Retrieved 2024-03-19.
- Kabashima, R; Sugita, K; Kabashima, K; Nakamura, M; Tokura, Y (2009). "Lichen Spinulosus in an Alcoholic Patient". Acta Dermato Venereologica. 89 (3). Medical Journals Sweden AB: 311–312. doi:10.2340/00015555-0600. ISSN 0001-5555. PMID 19479136.
