Asymmetric Bilateral Lichen Striatus: A Rare Presentation following Multiple Blaschko’s Lines

Lichen striatus (LS) is an uncommon, acquired, self-limited, and benign linear dermatosis of unknown etiology that most often occurs unilaterally and is confined to the lines of Blaschko. A healthy 7-year-old girl presented to our clinic with bilateral asymmetric LS occurring on the right arm and le...

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Main Authors: Jeffrey S. Dickman, McKay D. Frandsen, Andrew J. Racette
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Dermatological Medicine
Online Access:http://dx.doi.org/10.1155/2018/6905175
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author Jeffrey S. Dickman
McKay D. Frandsen
Andrew J. Racette
author_facet Jeffrey S. Dickman
McKay D. Frandsen
Andrew J. Racette
author_sort Jeffrey S. Dickman
collection DOAJ
description Lichen striatus (LS) is an uncommon, acquired, self-limited, and benign linear dermatosis of unknown etiology that most often occurs unilaterally and is confined to the lines of Blaschko. A healthy 7-year-old girl presented to our clinic with bilateral asymmetric LS occurring on the right arm and left leg of 1-year duration. Very few cases of bilateral LS have been previously reported in the literature, with none from clinics within the United States. The etiology of LS is currently unknown; however its confinement to Blaschko’s lines, which represent embryologic migration of skin cell clones, does provide insight into a possible pathogenesis. It seems most likely that an individual’s development of LS is linked to their genetic predisposition and a subsequent triggering event. Our case serves as a strong example of a rare presentation of LS and facilitates discussion of the clinical diagnostic process and possible pathogenesis of this dermatosis.
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spelling doaj-art-c9085129fa6d4dec974ed7a47fc9edcb2025-08-20T02:19:44ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712018-01-01201810.1155/2018/69051756905175Asymmetric Bilateral Lichen Striatus: A Rare Presentation following Multiple Blaschko’s LinesJeffrey S. Dickman0McKay D. Frandsen1Andrew J. Racette2Midwestern University, Arizona College of Osteopathic Medicine, 19555 N 59th Ave, Glendale, AZ 85308, USAMidwestern University, Arizona College of Osteopathic Medicine, 19555 N 59th Ave, Glendale, AZ 85308, USAOmni Dermatology, Inc., KCU-GMEC Phoenix Dermatology Residency Program, 4840 E Indian School Rd, Suite 102, Phoenix, AZ 85018, USALichen striatus (LS) is an uncommon, acquired, self-limited, and benign linear dermatosis of unknown etiology that most often occurs unilaterally and is confined to the lines of Blaschko. A healthy 7-year-old girl presented to our clinic with bilateral asymmetric LS occurring on the right arm and left leg of 1-year duration. Very few cases of bilateral LS have been previously reported in the literature, with none from clinics within the United States. The etiology of LS is currently unknown; however its confinement to Blaschko’s lines, which represent embryologic migration of skin cell clones, does provide insight into a possible pathogenesis. It seems most likely that an individual’s development of LS is linked to their genetic predisposition and a subsequent triggering event. Our case serves as a strong example of a rare presentation of LS and facilitates discussion of the clinical diagnostic process and possible pathogenesis of this dermatosis.http://dx.doi.org/10.1155/2018/6905175
spellingShingle Jeffrey S. Dickman
McKay D. Frandsen
Andrew J. Racette
Asymmetric Bilateral Lichen Striatus: A Rare Presentation following Multiple Blaschko’s Lines
Case Reports in Dermatological Medicine
title Asymmetric Bilateral Lichen Striatus: A Rare Presentation following Multiple Blaschko’s Lines
title_full Asymmetric Bilateral Lichen Striatus: A Rare Presentation following Multiple Blaschko’s Lines
title_fullStr Asymmetric Bilateral Lichen Striatus: A Rare Presentation following Multiple Blaschko’s Lines
title_full_unstemmed Asymmetric Bilateral Lichen Striatus: A Rare Presentation following Multiple Blaschko’s Lines
title_short Asymmetric Bilateral Lichen Striatus: A Rare Presentation following Multiple Blaschko’s Lines
title_sort asymmetric bilateral lichen striatus a rare presentation following multiple blaschko s lines
url http://dx.doi.org/10.1155/2018/6905175
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AT andrewjracette asymmetricbilaterallichenstriatusararepresentationfollowingmultipleblaschkoslines