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Image Number #8445 (Facial lichen striatus)

Diagnosis: Facial lichen striatus

Description: Skin colored papules and confluent plaques along Blaschko's lines

Morphology: Papules,skin coloured

Site: Face

Sex: M

Age: 20

Type: Clinical

Submitted By: Shahbaz Janjua

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Differential Diagnosis

History:

 Lichen striatus is characterized by an abrupt onset of discrete, asymptomatic, flesh-colored, pink, tan, or erythematous, small, flat-topped papules that follow Blaschko lines in children. Papules often coalesce to form a hyperpigmented continuous or interrupted linear band over a few weeks.  The linear band, usually a few cm long and a few mm to 2 cm wide, may develop a curved appearance as it typically follows Blaschko lines.  The papules may appear hypopigmented (lichen striatus albus) in dark-skinned individuals.   Typically, the eruption is solitary and unilateral.  Although lichen striatus may involve any parts of the body, the extremities are most commonly affected, followed by the trunk, buttocks, face, and neck. Pruritus is uncommon.   

DermNetNZ   eMedicine   PubMed   Dermatology Online   Archives   JAAD for "Facial lichen striatus"

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