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Adult-onset lichen striatus versus adult blaschkitis: a clinicopathological review of 40 cases of acquired blaschkolinear inflammatory dermatosis

  • Clinical Report
  • Published:
European Journal of Dermatology

Abstract

Background

Since the first description of adult blaschkitis (AB), the existence of this entity has been a matter of great debate.

Objectives

To compare clinicopathological features of lichen striatus (LS) and AB cases. Materials and Methods: We retrospectively reviewed the clinicopathological features of patients who clinically showed linear inflammatory dermatosis along Blaschko’s lines based on a skin biopsy registry.

Results

Through a process of clinicopathological differential diagnosis, 27 cases of LS, three of AB, eight of linear lichen planus, and two of linear psoriasis were identified. Clinicopathological differences between LS and ABwere mostly insignificant except for age at onset and multiple site involvement. In these cases, females were affected more frequently than males. The mean age at onset was 31.6 years, and the most common involved site was the leg. The lesions lasted approximately 8.3 months with few relapses. The most common histopathological finding was perivascular infiltration followed by peri-appendageal infiltration.

Conclusion

Distinction between LS and AB appears to be unnecessary given their overlapping features.

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Funding

Disclosure. Funding sources: This research was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF), funded by the Ministry of Education (NRF-2018R1D1A1B07045088). Conflicts of interest: none

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Authors and Affiliations

  1. Department of Dermatology, Korea University, Seoul, Korea

    Yoo Sang Baek, Ji Yun Seo, Soo Hong Seo, Hyo Hyun Ahn, Hae Jun Song, Young Chul Kye & Jiehyun Jeon

  2. Department of Pathology, College of Medicine, Korea University, Seoul, Korea

    Aeree Kim

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  1. Yoo Sang Baek
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  2. Ji Yun Seo
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  3. Soo Hong Seo
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  4. Hyo Hyun Ahn
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Correspondence to Jiehyun Jeon.

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Baek, Y.S., Seo, J.Y., Seo, S.H. et al. Adult-onset lichen striatus versus adult blaschkitis: a clinicopathological review of 40 cases of acquired blaschkolinear inflammatory dermatosis. Eur J Dermatol 29, 281–286 (2019). https://doi.org/10.1684/ejd.2019.3556

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  • DOI: https://doi.org/10.1684/ejd.2019.3556

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