Asymmetric Bilateral Lichen Striatus: A Rare Presentation following Multiple Blaschko’s Lines

Lichen striatus (LS) is an uncommon, acquired, self-limited, and benign linear dermatosis of unknown etiology that most often occurs unilaterally and is confined to the lines of Blaschko. A healthy 7-year-old girl presented to our clinic with bilateral asymmetric LS occurring on the right arm and le...

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Main Authors: Jeffrey S. Dickman, McKay D. Frandsen, Andrew J. Racette
Format: Article
Language:English
Published: Hindawi Limited 2018-01-01
Series:Case Reports in Dermatological Medicine
Online Access:http://dx.doi.org/10.1155/2018/6905175
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spelling doaj-c9085129fa6d4dec974ed7a47fc9edcb2020-11-25T02:23:54ZengHindawi LimitedCase Reports in Dermatological Medicine2090-64632090-64712018-01-01201810.1155/2018/69051756905175Asymmetric Bilateral Lichen Striatus: A Rare Presentation following Multiple Blaschko’s LinesJeffrey S. Dickman0McKay D. Frandsen1Andrew J. Racette2Midwestern University, Arizona College of Osteopathic Medicine, 19555 N 59th Ave, Glendale, AZ 85308, USAMidwestern University, Arizona College of Osteopathic Medicine, 19555 N 59th Ave, Glendale, AZ 85308, USAOmni Dermatology, Inc., KCU-GMEC Phoenix Dermatology Residency Program, 4840 E Indian School Rd, Suite 102, Phoenix, AZ 85018, USALichen striatus (LS) is an uncommon, acquired, self-limited, and benign linear dermatosis of unknown etiology that most often occurs unilaterally and is confined to the lines of Blaschko. A healthy 7-year-old girl presented to our clinic with bilateral asymmetric LS occurring on the right arm and left leg of 1-year duration. Very few cases of bilateral LS have been previously reported in the literature, with none from clinics within the United States. The etiology of LS is currently unknown; however its confinement to Blaschko’s lines, which represent embryologic migration of skin cell clones, does provide insight into a possible pathogenesis. It seems most likely that an individual’s development of LS is linked to their genetic predisposition and a subsequent triggering event. Our case serves as a strong example of a rare presentation of LS and facilitates discussion of the clinical diagnostic process and possible pathogenesis of this dermatosis.http://dx.doi.org/10.1155/2018/6905175
collection DOAJ
language English
format Article
sources DOAJ
author Jeffrey S. Dickman
McKay D. Frandsen
Andrew J. Racette
spellingShingle Jeffrey S. Dickman
McKay D. Frandsen
Andrew J. Racette
Asymmetric Bilateral Lichen Striatus: A Rare Presentation following Multiple Blaschko’s Lines
Case Reports in Dermatological Medicine
author_facet Jeffrey S. Dickman
McKay D. Frandsen
Andrew J. Racette
author_sort Jeffrey S. Dickman
title Asymmetric Bilateral Lichen Striatus: A Rare Presentation following Multiple Blaschko’s Lines
title_short Asymmetric Bilateral Lichen Striatus: A Rare Presentation following Multiple Blaschko’s Lines
title_full Asymmetric Bilateral Lichen Striatus: A Rare Presentation following Multiple Blaschko’s Lines
title_fullStr Asymmetric Bilateral Lichen Striatus: A Rare Presentation following Multiple Blaschko’s Lines
title_full_unstemmed Asymmetric Bilateral Lichen Striatus: A Rare Presentation following Multiple Blaschko’s Lines
title_sort asymmetric bilateral lichen striatus: a rare presentation following multiple blaschko’s lines
publisher Hindawi Limited
series Case Reports in Dermatological Medicine
issn 2090-6463
2090-6471
publishDate 2018-01-01
description Lichen striatus (LS) is an uncommon, acquired, self-limited, and benign linear dermatosis of unknown etiology that most often occurs unilaterally and is confined to the lines of Blaschko. A healthy 7-year-old girl presented to our clinic with bilateral asymmetric LS occurring on the right arm and left leg of 1-year duration. Very few cases of bilateral LS have been previously reported in the literature, with none from clinics within the United States. The etiology of LS is currently unknown; however its confinement to Blaschko’s lines, which represent embryologic migration of skin cell clones, does provide insight into a possible pathogenesis. It seems most likely that an individual’s development of LS is linked to their genetic predisposition and a subsequent triggering event. Our case serves as a strong example of a rare presentation of LS and facilitates discussion of the clinical diagnostic process and possible pathogenesis of this dermatosis.
url http://dx.doi.org/10.1155/2018/6905175
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