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LETTERS TO EDITOR
Year : 2019  |  Volume : 20  |  Issue : 3  |  Page : 279

Facial lichen striatus


1 Department of Dermatology, King Faisal Hospital, Makkah, Saudi Arabia
2 Department of Public Health, King Faisal Hospital, Makkah, Saudi Arabia

Date of Web Publication28-Jun-2019

Correspondence Address:
Dr. Khalid Al Aboud
P. O. Box 5440, Makkah 21955
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijpd.IJPD_19_19

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How to cite this article:
Al Aboud K, Alfelate F. Facial lichen striatus. Indian J Paediatr Dermatol 2019;20:279

How to cite this URL:
Al Aboud K, Alfelate F. Facial lichen striatus. Indian J Paediatr Dermatol [serial online] 2019 [cited 2019 Sep 19];20:279. Available from: http://www.ijpd.in/text.asp?2019/20/3/279/261876



Sir,

Lichen straitus localized to the face, in children, is not common.

Only one case series have been reported.[1] I wish to share you a new case from my side.

A 5-year-old female child, from Sudan, brought by her parents because of nonitchy, skin lesions on the left side of the face [Figure 1].
Figure 1: Facial lichen striatus in the 5-year-old female child

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It started before 4 months, but the parents became worried as it extended from the cheek and reached the lateral canthus.

It was composed of multiple papules mostly hypopigmented in color.

The child had no signs of systemic disorders or other dermatological diseases. The distribution of the lesions conforms to one of the Blaschko's lines (BLs), demonstrated earlier reports.[2],[3]

Both the morphology and the distribution of the lesions were highly suggestive of lichen striatus. Nonetheless, dermatoses which follow a linear configuration, such as linear lichen planus, linear psoriasis, linear lichen nitidus, linear sebaceous/epidermal nevus, and blaschkitis, are important considerations which need to excluded, in all cases of lichen striatus.

Topical mild-potency steroid cream was prescribed, and nature of the disease and its self-resolution, over time, were explained to the parents.

Our case of lichen striatus affects a black-colored girl. In the previous series, four out of the seven cases were black.

The BL, however, affected, in our case, is different from the ones affected in the previous reports.[1],[2]

As mentioned by other authors, we want to stress the importance of body and face BL maps as it proves to be an important diagnostic tool to assist in the diagnosis of cutaneous disorders.[2]

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Mu EW, Abuav R, Cohen BA. Facial lichen striatus in children: Retracing the lines of Blaschko. Pediatr Dermatol 2013;30:364-6.  Back to cited text no. 1
    
2.
Valerio E, Giordano C, Mameli S, Poles A, Cutrone M. Facial lichen striatus. Arch Dis Child 2016;101:1148.  Back to cited text no. 2
    
3.
Happle R, Assim A. The lines of Blaschko on the head and neck. J Am Acad Dermatol 2001;44:612-5.  Back to cited text no. 3
    


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