Ann Dermatol.  2009 Nov;21(4):393-395. 10.5021/ad.2009.21.4.393.

A Case of Childhood Lichen Aureus

• Kim MJ
• Kim BY
• Park KC
• Youn SW

• KMID: 2156503
• DOI: http://doi.org/10.5021/ad.2009.21.4.393

Abstract

Lichen aureus is a rare type of chronic pigmented purpuric dermatosis. The eruptions consist of discrete or confluent golden to brownish lichenoid macules and papules, and are usually asymptomatic. Lichen aureus commonly occurs in young adults, but less frequently in children. We report the first case of multiple lichen aureus occurring in a Korean child.

Keyword

Lichen aureus; Pigmented purpuric dermatosis

MeSH Terms

Child
Humans
Lichens
Skin Diseases
Young Adult

Figure

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  Fig. 1 (A) A single round brownish patch on the left calf and (B) a similar patch at the left malleolar area.

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  Fig. 2 Histological examination of the lesion revealed perivascular lymphocytic infiltration in the superficial dermis with RBC extravasation and mild exocytosis of lymphocytes into the epidermis (H&E, ×200).

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  Fig. 3 Nearly resolved skin lesions after applying topical steroids for four months.

Reference

1. Schroeder-Devere T. Wolff K, Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, editors. Pigmented purpuric dermatoses. Fitzpatrick's dermatology in general medicine. 2008. 7th ed. New York: McGraw-Hill;1633–1637.

2. Chun SI, Chung KY, Nam IW, Park HY. A case of lichen aureus. Korean J Dermatol. 1985. 23:795–798.

3. Kwon KS, Han EH, Chung TA, Lim MK, Park SK. A case of lichen aureus. Korean J Dermatol. 1994. 32:312–315.

4. Yoon SP, Lee IH, Lee SH, Kim BS, Lee JH, Lee SC. A case of bilateral lichen aureus with good response to PUVA therapy. Korean J Dermatol. 1999. 37:420–422.

5. Bahn JY, Kim YS, Kwon SJ, Yu HJ. A case of segmental lichen aureus. Korean J Dermatol. 1999. 37:798–800.

6. Oh TH, Lee JW, Lee SH, Lee WS. Multiple lichen aureus. Korean J Dermatol. 2004. 42:1600–1602.

7. Marten RH. Case for diagnosis. Trans St Johns Hosp Dermatolo Soc. 1958. 40:98.

8. Price ML, Jones EW, Calnan CD, MacDonald DM. Lichen aureus: a localized persistent form of pigmented purpuric dermatitis. Br J Dermatol. 1985. 112:307–314.

9. Graham RM, English JS, Emmerson RW. Lichen aureus--a study of twelve cases. Clin Exp Dermatol. 1984. 9:393–401.

10. Gelmetti C, Cerri D, Grimalt R. Lichen aureus in childhood. Pediatr Dermatol. 1991. 8:280–283.

11. Kahana M, Levy A, Schewach-Millet M, Trau H, Feinstein A. Lichen aureus occurring in childhood. Int J Dermatol. 1985. 24:666–667.

12. Reinhardt L, Wilkin JK, Tausend R. Vascular abnormalities in lichen aureus. J Am Acad Dermatol. 1983. 8:417–420.

13. Nishioka K, Katayama I, Masuzawa M, Yokozeki H, Nishiyama S. Drug-induced chronic pigmented purpura. J Dermatol. 1989. 16:220–222.

14. Yazdi AS, Mayser P, Sander CA. Lichen aureus with clonal T cells in a child possibly induced by regular consumption of an energy drink. J Cutan Pathol. 2008. 35:960–962.

15. Toro JR, Sander CA, LeBoit PE. Persistent pigmented purpuric dermatitis and mycosis fungoides: simulant, precursor, or both? A study by light microscopy and molecular methods. Am J Dermatopathol. 1997. 19:108–118.

16. Fink-Puches R, Wolf P, Kerl H, Cerroni L. Lichen aureus: clinicopathologic features, natural history, and relationship to mycosis fungoides. Arch Dermatol. 2008. 144:1169–1173.

17. Guitart J, Magro C. Cutaneous T-cell lymphoid dyscrasia: a unifying term for idiopathic chronic dermatoses with persistent T-cell clones. Arch Dermatol. 2007. 143:921–932.

18. Ling TC, Goulden V, Goodfield MJ. PUVA therapy in lichen aureus. J Am Acad Dermatol. 2001. 45:145–146.

19. Bohm M, Bonsmann G, Luger TA. Resolution of lichen aureus in a 10-year-old child after topical pimecrolimus. Br J Dermatol. 2004. 151:519–520.

20. Lee HW, Lee DK, Chang SE, Lee MW, Choi JH, Moon KC, et al. Segmental lichen aureus: combination therapy with pentoxifylline and prostacyclin. J Eur Acad Dermatol Venereol. 2006. 20:1378–1380.