1
|
Chen Y, Xue L, Guo DJ, Mao JY, Wu MF, Xu R, Li X, Li B, Li FL. Combination Therapy of Acitretin Capsule and Chinese Herbs for Patients with Lichen Planus Pigmentosus-Inversus. Chin J Integr Med 2019; 25:922-925. [PMID: 31444667 DOI: 10.1007/s11655-019-3033-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/18/2016] [Indexed: 10/26/2022]
Affiliation(s)
- Yu Chen
- Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China.,Department of Burn and Plastic Surgery, the Seventh People's Hospital of Integrated Traditional Chinese and Western Medicine, Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 200137, China
| | - Liang Xue
- Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China
| | - Dong-Jie Guo
- Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China
| | - Jing-Yi Mao
- Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China
| | - Min-Feng Wu
- Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China
| | - Rong Xu
- Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China
| | - Xin Li
- Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China
| | - Bin Li
- Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China
| | - Fu-Lun Li
- Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China.
| |
Collapse
|
2
|
Chakraborti G, Biswas R, Chakraborti S, Sen PK. Altered serum uric Acid level in lichen planus patients. Indian J Dermatol 2014; 59:558-61. [PMID: 25484383 PMCID: PMC4248490 DOI: 10.4103/0019-5154.143510] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Lichen planus (LP) is a common disorder whose etiopathogenesis is not clear. Recently, it has been suggested that increased reactive oxygen species (ROS) play important roles in the underlying mechanism of LP. OBJECTIVES The principal aim of this study was to evaluate serum uric acid (UA) levels as a measure of the antioxidant defense status in LP patients. METHODS Serum UA levels were determined in 58 LP patients and 61 controls. RESULTS Serum UA levels were significantly decreased in patients with respect to controls. Moreover, serum UA level was decreased according to increasing duration of disease. CONCLUSIONS The results of our study suggest that LP is associated with decrease of UA levels in serum. UA may be a potential, useful biomarker of antioxidant status in LP for elaboration of treatment strategy and monitoring.
Collapse
Affiliation(s)
- Goutam Chakraborti
- Department of Biochemistry, Murshidabad Medical College and Hospital, Berhampore, West Bengal, India
| | - Rabindranath Biswas
- Department of Dermatology, Murshidabad Medical College and Hospital, Berhampore, West Bengal, India
| | - Sandip Chakraborti
- Department of Biochemistry, Murshidabad Medical College and Hospital, Berhampore, West Bengal, India
| | - Pradyot Kumar Sen
- Department of Biochemistry, Murshidabad Medical College and Hospital, Berhampore, West Bengal, India
| |
Collapse
|
3
|
Dizen Namdar N, Kural E, Pulat O, Metineren MH, Sarici G. Lichen planus pigmentosus-inversus: 5 Turkish cases. J Eur Acad Dermatol Venereol 2014; 30:450-2. [PMID: 25363366 DOI: 10.1111/jdv.12828] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- N Dizen Namdar
- Department of Dermatology, School of Medicine, Dumlupinar University, Kutahya, Turkey
| | - E Kural
- Dermatology Clinic, Eren Surgical Medical Center, Istanbul, Turkey
| | - O Pulat
- Pathology Clinic, State Hospital, Bartin, Turkey
| | - M H Metineren
- Department of Pathology, School of Medicine, Dumlupinar University, Kutahya, Turkey
| | - G Sarici
- Department of Dermatology, School of Medicine, Dumlupinar University, Kutahya, Turkey
| |
Collapse
|
4
|
D' Costa G, Bharambe BM. Spectrum of non-infectious erythematous, papular and squamous lesions of the skin. Indian J Dermatol 2011; 55:225-8. [PMID: 21063511 PMCID: PMC2965905 DOI: 10.4103/0019-5154.70666] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Dermatopathologists base their diagnostic approach on the tissue reaction pattern. This study mainly includes the interpretation of two major tissue reaction patterns, the psoriasiform and the lichenoid reactions, with clinicopathological correlation. AIMS To analyze the spectrum of non-infectious erythematous papular and squamous lesions of the skin at our institute, study the age, sex and anatomic distribution pattern and classify the lesions into major categories; determine the incidence of each subcategory. MATERIALS AND METHODS STUDY PERIOD two years; prospective, sample size: 161 cases, proforma filled. RESULTS The lesions comprised 15.80% of the total load of surgical pathology and 30.99% of total number of skin biopsies. The highest percentage was in the 30-40 year age group (28.6%) with a male preponderance of 60.25%. The extremities were most frequently involved (67.79%). Lichenoid lesions were the commonest (46.57%) with lichen planus 26.7% and psoriasis vulgaris-19.88% being the most frequent. There were 5.6% seropositive cases. Correlation with the histopathological diagnosis was positive in 97.52% cases and negative in 2.48% cases. CONCLUSION The contribution of histopathology to the final diagnosis was significant. It confirmed the diagnosis in 92.55% and gave the diagnosis in 4.97% cases.
Collapse
|
5
|
Abstract
AIM To describe the clinical features and treatment schedules of a series of 5 patients with esophageal lichen planus (LP). To review the literature on esophageal LP. BACKGROUND LP, a common papulosquamous dermatologic condition, can present to the gastroenterologist with esophageal involvement. This is rare and occurs in a distinct population of LP patients. Disease at this site is frequently refractory to conventional treatment. CASE SERIES Between 2001 to 2007, 5 female patients were diagnosed with esophageal LP. They all had esophageal strictures which were treated with a combination of balloon dilatation and intralesional triamcinolone. Therapeutic intervention was covered with oral steroids before and after the procedure. Symptoms tended to recur, necessitating repeat procedures. The average interval between treatments was 8.3 months. CONCLUSIONS Intralesional triamcinolone and balloon dilatation produced good symptomatic relief in these 5 patients with esophageal LP. This was generally maintained for several months. We reviewed 35 cases of symptomatic esophageal LP in the English literature. Esophageal LP seems to have a striking predilection for middle-aged women, particularly those with disease at other mucosal sites. A range of systemic immunosuppressants and esophageal-directed therapies has been tried.
Collapse
|
6
|
Bennàssar A, Mas A, Julià M, Iranzo P, Ferrando J. Placas anulares en grandes pliegues: cuatro casos de liquen plano pigmentoso-inverso. ACTAS DERMO-SIFILIOGRAFICAS 2009. [DOI: 10.1016/s0001-7310(09)71908-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
7
|
Ozden MG, Yildiz L, Aydin F, Senturk N, Canturk T, Turanli AY. Lichen planus pigmentosus presenting as generalized reticulate pigmentation with scalp involvement. Clin Exp Dermatol 2009; 34:636-7. [DOI: 10.1111/j.1365-2230.2008.03055.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
8
|
Bennàssar A, Mas A, Julià M, Iranzo P, Ferrando J. Annular Plaques in the Skin Folds: 4 Cases of Lichen Planus Pigmentosus-Inversus. ACTAS DERMO-SIFILIOGRAFICAS 2009. [DOI: 10.1016/s1578-2190(09)70128-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
|
9
|
Jang N, Fischer G. Treatment of erosive vulvovaginal lichen planus with methotrexate. Australas J Dermatol 2008; 49:216-9. [DOI: 10.1111/j.1440-0960.2008.00472.x] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
10
|
Luis-Montoya P, Yamamoto-Furusho JK, Vega-Memije E, Rodríguez-Carreón A, Ruiz-Morales JA, Vargas-Alarcón G, Domínguez-Soto L, Granados J. HLA-DRB1*0101 is associated with the genetic susceptibility to develop lichen planus in the Mexican Mestizo population. Arch Dermatol Res 2007; 299:405-7. [PMID: 17665209 DOI: 10.1007/s00403-007-0769-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2006] [Revised: 05/24/2007] [Accepted: 06/25/2007] [Indexed: 10/23/2022]
Abstract
The etiology of lichen planus (LP) is still unknown and previous studies have found an association between LP and HLA-DR1, DR2, DR3, DR9 and DR10 in different populations. The aim of this study was to analyze the distribution of the HLA-DRB1 alleles in Mexican Mestizo patients with LP. The aim of this study was to determine the gene frequency of HLA-DR locus in Mexican Mestizo patients with LP. We studied 20 patients with LP and 99 healthy Mexican Mestizo controls. HLA-DRB1 was performed by PCR-SSO reverse dot blot hybridization. High resolution HLA typing was performed by PCR-SSP. The HLA-DRB1*0101 allele was associated significantly in LP patients compared with healthy controls (pC = 0.0007, OR = 5.46, 95% CI = 1.86-16.06). HLA-DRB1*0101 is a marker for the development of LP in Mexican Mestizo population, yet another gene or HLA marker within MHC region may be the causatively associated gene.
Collapse
Affiliation(s)
- P Luis-Montoya
- Department of Dermatology, Hospital General Dr. Manuel Gea González, México D.F., Mexico
| | | | | | | | | | | | | | | |
Collapse
|
11
|
Abstract
Case 1 was a 51-year-old Japanese woman. She presented with an asymptomatic brown macule located on the right axilla of 2 months' duration. The smooth macule was 2 cm in diameter with a sharp demarcation (Fig. 1A). Case 2 was a 62-year-old Japanese man. He presented with asymptomatic, symmetric, gray-brown macules located on the groin, axillae, and popliteal region of 6 months' duration. The smooth macules were several millimeters to centimeters in diameter and sharply demarcated (Fig. 1B). Oral or nail lesions, previous inflammatory processes in affected areas, and internal malignancies were absent. A causal relationship with drugs, recent sun exposure, or trauma could not be identified. Findings for work-up, including blood cell count, fasting blood sugar levels, liver function, serum electrolyte levels, serum electrophoresis, urinalysis, antinuclear antibodies, and serological examinations for human hepatitis viruses and syphilis, were within normal limits or negative. The lesions gradually disappeared without medication within 6 months. Biopsy specimens showed a lymphocytic infiltrate with basal vacuolar changes and prominent melanin incontinence in the upper dermis (Fig. 2A). The band-like lymphocytic infiltrate was moderate in Case 1 and mild in Case 2. Immunohistochemistry showed infiltrative CD8(+) T lymphocytes with keratinocytic damage, indicating cytotoxic injury of the keratinocytes (Fig. 2B). Both the epidermis and the upper dermis contained CD1a(+) cells (Fig. 2C). The keratinocytes focally and weakly expressed HLA-DR (Fig. 2D). These findings were identical in samples from both patients.
Collapse
Affiliation(s)
- Aki Kashima
- Department of Dermatology, Faculty of Medicine, University of Miyazaki, Kiyotake, Miyazaki, Japan.
| | | | | | | | | |
Collapse
|
12
|
Abstract
Superficial inflammatory dermatoses are very common and comprise a wide, complex variety of clinical conditions. Accurate histological diagnosis, although it can sometimes be difficult to establish, is essential for clinical management. Knowledge of the microanatomy of the skin is important to recognise the variable histological patterns of inflammatory skin diseases. This article reviews the non-vesiculobullous/pustular inflammatory superficial dermatoses based on the compartmental microanatomy of the skin.
Collapse
Affiliation(s)
- K O Alsaad
- Department of Laboratory Medicine and Pathobiology, University of Toronto, University Health Network, Toronto, Ontario, Canada.
| | | |
Collapse
|
13
|
Kirtschig G, Wakelin SH, Wojnarowska F. Mucosal vulval lichen planus: outcome, clinical and laboratory features. J Eur Acad Dermatol Venereol 2005; 19:301-7. [PMID: 15857455 DOI: 10.1111/j.1468-3083.2004.01167.x] [Citation(s) in RCA: 51] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND Mucosal lichen planus of the vulva is a rare but increasingly recognized condition. It has potentially severe complications such as fusion of the labia and vagina; the risk of developing squamous cell carcinoma (SCC) may be increased. An association between hepatitis B and C infection and skin or oral lichen planus appears to exist in certain geographical areas. OBJECTIVE To investigate the course of mucosal vulval lichen planus, its response to treatment and associated laboratory features. SUBJECTS AND METHODS Forty-four women with mucosal vulval lichen planus were studied between 1997 and 2000 and laboratory data were collected. RESULTS Thirty of 44 patients had additional oral lesions, only nine had cutaneous findings compatible with lichen planus. We did not find an association with antibodies to hepatitis B or C virus in this British study population. All women were treated with potent to very potent topical corticosteroids; however, in the majority of patients symptoms persisted. In seven (16%) patients vulval lichen planus was in remission after a disease duration between 2 and 18 years (mean 10.6 years). One patient developed a vulval SCC. CONCLUSIONS Screening for hepatitis B and C in women with mucosal vulval lichen planus in the UK seems unnecessary. We recommend long-term follow-up, and that all non-healing ulcerative and papular lesions should be biopsied.
Collapse
Affiliation(s)
- G Kirtschig
- Department of Dermatology, University Hospital Vrije Universiteit, De Boelelaan 1117, Amsterdam, the Netherlands.
| | | | | |
Collapse
|
14
|
Affiliation(s)
- Jerri Hoskyn
- Department of Dermatology, University of Arkansas for Medical Sciences, 4301 West Markham Road, Slot 576, Arkansas 72205, USA
| | | |
Collapse
|
15
|
Chu CY, Yang CY, Huang SF, Lu SC, Wang LF. Lichen planus with xanthomatous change in a patient with primary biliary cirrhosis. Br J Dermatol 2000; 142:377-8. [PMID: 10730783 DOI: 10.1046/j.1365-2133.2000.03317.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
16
|
Kubanova AA, Mohammad A, Bukhova VP, Kurshakova TS. Effect of some drugs on interferon and phagocytic systems in patients with lichen planus. Bull Exp Biol Med 1996. [DOI: 10.1007/bf02445170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
17
|
Török L, Szarka B. Successful treatment of erosive bullous oral lichen planus with cyclosporin A. J DERMATOL TREAT 1996. [DOI: 10.3109/09546639609086886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- L Török
- Department of Dermatology, Central Hospital and Outpatient Clinic of the County Bács-Kiskun, Kecskemét, Hungary
| | - B Szarka
- Department of Dermatology, Central Hospital and Outpatient Clinic of the County Bács-Kiskun, Kecskemét, Hungary
| |
Collapse
|
18
|
|
19
|
Leal-Khouri S, Hruza GJ. Squamous cell carcinoma developing within lichen planus of the penis. Treatment with Mohs micrographic surgery. THE JOURNAL OF DERMATOLOGIC SURGERY AND ONCOLOGY 1994; 20:272-6. [PMID: 8163749 DOI: 10.1111/j.1524-4725.1994.tb01624.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
BACKGROUND Lichen planus is a common disease, with a low malignant potential. There are several case reports in the literature of squamous cell carcinoma (SCC) developing in cutaneous lichen planuse. However, SCC developing in penile lichen planus is extremely rare. OBJECTIVE To report a case of SCC developing within penile lichen planus, to discuss treatment with Mohs micrographic surgery, and to review the literature. METHOD The diagnosis of lichen planus and SCC were made by biopsy of the lesion. RESULTS We present the first case in the English literature of SCC developing within lichen planus of the penis. The lesion was treated with Mohs surgery and the patient's penis is functional and free of tumor 2 years postoperatively. CONCLUSION Squamous cell carcinoma may develop within lichen planus. Treatment-resistant longstanding cases of lichen planus should be biopsied. Mohs micrographic surgery is a precise treatment for penile SCC, it avoids penectomy, and preserves normal function.
Collapse
Affiliation(s)
- S Leal-Khouri
- Dermatology Division, Washington University School of Medicine, St. Louis, Missouri
| | | |
Collapse
|