A linear asymtomatic dermatosis of unknown etiology that generally affets children.It is distributed along the Blaschkos lines. It is more common in spring and summer and is manifestation of mosaicism.
Epidemiology:
Seen mostly in children (Age range between 4 months and 15 years.
Majorrity cases occur in preschool children.
Female to Male ratio is 2:1
Pathogenesis:
Unknown.
? abnormal immune response associated with atopy.
Clinical Features:
History:
Eruptions usually appear suddenly, develop fully over days to weeks.
 |
| Lichen Striatus |
Usually none but intense pruruitis occasionally
Signs:
Continous or interuppted bands of discrete or clustered papules.
Usually on extermity along blasko lines.
Can be pink or skin coloured or hypopigmented(Tan)
Ocassionally there is bilateral or multiple parallel bands.
It is uncommon for lichen striatus to involve trunk or head and neck region.
Can resolve spontaneously after years leaving postinflammatory hypopigmentation.
Nail Involvement:
onchoysis
splitting
fraying
Total loss of nails may occur
Pathology:
Lichenoid tissue reaction
varying degree of involvement of sweat glands and hair follicules.
Treatment:
Usually not needed
Topical Steriods+/- occlusion.
Topical Calcineurin inhibitors.
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