Hypertrophic Lichenoid Eruption in a Child Successfully Treated Using Acitretin and Surgery: A Case Report and Literature Review.

Authors:
Songmei Geng
Songmei Geng
Xi'an Jiaotong University
China
Yanting Liu
Yanting Liu
Cancer Research Institute of Jiangsu Province
China
Hao Wang
Hao Wang
Zhongshan Hospital
Johns Creek | United States
Xinwu Niu
Xinwu Niu
Northwest Hospital
Jennifer P Toyohara
Jennifer P Toyohara
Adult and Pediatric Dermatology
Concord | United States
Shengxiang Xiao
Shengxiang Xiao
The Second Affiliated Hospital of Xi'an Jiaotong University

Pediatr Dermatol 2015 Nov-Dec;32(6):e238-41. Epub 2015 Jul 29.

Department of Dermatology, Northwest Hospital, Xi'an Jiaotong University, Xi'an Shaanxi, China.

A 9-year-old boy presented with a history of keratotic violaceous plaques on the limbs and face for 8 years that had gradually progressed to erosive nodules on the extremities for 2 years. Several biopsies revealed hyperkeratosis, liquefactive degeneration of the basal layer, and a bandlike predominantly lymphocytic infiltrate. Based on the clinical and histologic findings, the patient was diagnosed with keratosis lichenoides chronica, a rare chronic dermatosis that is particularly uncommon in childhood. There are fewer than 20 reported cases of pediatric-onset keratosis lichenoides chronica in the current literature, with occurrence of pseudoepitheliomatous hyperplasia of primary keratosis lichenoides chronica lesions being even rarer. Here we present a unique pediatric-onset case accompanied by pseudoepitheliomatous hyperplasia that posed a significant treatment challenge to dermatologists. Significant improvement in the pseudoepitheliomatous skin lesions was achieved after treatment with oral acitretin capsules and surgical excision with skin grafting.
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September 2016
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