LICHEN PLANUS PILARIS ASSOCIATED WITH LICHEN PLANUS PIGMENTOSUM
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.29021/spdv.71.3.201 |
Resumo: | Variant of lichen planus, lichen planus pilaris (follicular) affects the pilosebaceous unit and can cause scarring alopecia. Lichen planus pigmentosum, another form of presentation of the LP, is characterized by papules or hyperchromic macules that can be itching, and is more frequent in melanodermic patients. We present the case of a patient who simultaneously presented two lichen planus subtypes: pilaris on the scalp, neck and forearms and pigmentosum on the face, which is rare. Trichoscopy improved visualization of changes on the scalp. There were hyperchromic macules on the forehead and erythematous follicular papules on the cervical area. After performing biopsies, the diagnosis of lichen planus pilaris on the scalp, lichen planus pigmentosum on the forehead and lichen planus pilaris on the cervical region were all confirmed. Lesions were initially treated with topical steroids, resulting in clinical improvement, but new lesions were presented on the forearms, and so the use of hydroxychloroquine was initiated. |
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LICHEN PLANUS PILARIS ASSOCIATED WITH LICHEN PLANUS PIGMENTOSUMLÍQUEN PLANO PILAR ASSOCIADO A LÍQUEN PLANO PIGMENTOSOLichen planusHydroxychloroquineLíquen planoHidroxicloroquinaVariant of lichen planus, lichen planus pilaris (follicular) affects the pilosebaceous unit and can cause scarring alopecia. Lichen planus pigmentosum, another form of presentation of the LP, is characterized by papules or hyperchromic macules that can be itching, and is more frequent in melanodermic patients. We present the case of a patient who simultaneously presented two lichen planus subtypes: pilaris on the scalp, neck and forearms and pigmentosum on the face, which is rare. Trichoscopy improved visualization of changes on the scalp. There were hyperchromic macules on the forehead and erythematous follicular papules on the cervical area. After performing biopsies, the diagnosis of lichen planus pilaris on the scalp, lichen planus pigmentosum on the forehead and lichen planus pilaris on the cervical region were all confirmed. Lesions were initially treated with topical steroids, resulting in clinical improvement, but new lesions were presented on the forearms, and so the use of hydroxychloroquine was initiated.Variante do líquen plano, o líquen plano pilar (folicular) acomete a unidade pilossebácea e pode ocasionar alopécia cicatricial. O líquen plano pigmentoso, outra forma de apresentação do líquen plano, caracteriza-se por pápulas ou máculas hipercrômicas que podem ser pruriginosas, sendo mais frequente em pacientes melanodérmicos. Apresentamos o caso de uma paciente que apresentou simultaneamente dois subtipos de líquen plano: pilar no couro cabeludo, região cervical e antebraços e pigmentoso na face, o que é raro. A tricoscopia facilitou a visualização das alterações no couro cabeludo. Na fronte haviam manchas hipercrômicas e na região cervical pápulas foliculares eritematosas. Após a realização de biópsias dos três tipos de lesões, confirmou-se o diagnóstico de líquen plano pilar no couro cabeludo, líquen plano pigmentoso na fronte e líquen plano pilar na região cervical. Inicialmente foi tratada com corticóide tópico com melhora das lesões, mas apresentou novas lesões nos antebraços, sendo iniciado o uso de hidroxicloroquina.Sociedade Portuguesa de Dermatologia e Venereologia2014-07-02T00:00:00Zjournal articleinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://doi.org/10.29021/spdv.71.3.201oai:ojs.revista.spdv.com.pt:article/201Journal of the Portuguese Society of Dermatology and Venereology; Vol 71 No 3 (2013): Julho - Setembro; 403-406Revista da Sociedade Portuguesa de Dermatologia e Venereologia; v. 71 n. 3 (2013): Julho - Setembro; 403-4062182-24092182-2395reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spdv.com.pt/index.php/spdv/article/view/201https://doi.org/10.29021/spdv.71.3.201https://revista.spdv.com.pt/index.php/spdv/article/view/201/185Vendramini, Dâmia LealMeotti, Carolina DegenRezende, Fernanda CoelhoTonin, Carolina PelegrinMendes, Sara QuintaPaolini, Karoline Silvainfo:eu-repo/semantics/openAccess2022-10-06T12:34:45ZPortal AgregadorONG |
dc.title.none.fl_str_mv |
LICHEN PLANUS PILARIS ASSOCIATED WITH LICHEN PLANUS PIGMENTOSUM LÍQUEN PLANO PILAR ASSOCIADO A LÍQUEN PLANO PIGMENTOSO |
title |
LICHEN PLANUS PILARIS ASSOCIATED WITH LICHEN PLANUS PIGMENTOSUM |
spellingShingle |
LICHEN PLANUS PILARIS ASSOCIATED WITH LICHEN PLANUS PIGMENTOSUM Vendramini, Dâmia Leal Lichen planus Hydroxychloroquine Líquen plano Hidroxicloroquina |
title_short |
LICHEN PLANUS PILARIS ASSOCIATED WITH LICHEN PLANUS PIGMENTOSUM |
title_full |
LICHEN PLANUS PILARIS ASSOCIATED WITH LICHEN PLANUS PIGMENTOSUM |
title_fullStr |
LICHEN PLANUS PILARIS ASSOCIATED WITH LICHEN PLANUS PIGMENTOSUM |
title_full_unstemmed |
LICHEN PLANUS PILARIS ASSOCIATED WITH LICHEN PLANUS PIGMENTOSUM |
title_sort |
LICHEN PLANUS PILARIS ASSOCIATED WITH LICHEN PLANUS PIGMENTOSUM |
author |
Vendramini, Dâmia Leal |
author_facet |
Vendramini, Dâmia Leal Meotti, Carolina Degen Rezende, Fernanda Coelho Tonin, Carolina Pelegrin Mendes, Sara Quinta Paolini, Karoline Silva |
author_role |
author |
author2 |
Meotti, Carolina Degen Rezende, Fernanda Coelho Tonin, Carolina Pelegrin Mendes, Sara Quinta Paolini, Karoline Silva |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Vendramini, Dâmia Leal Meotti, Carolina Degen Rezende, Fernanda Coelho Tonin, Carolina Pelegrin Mendes, Sara Quinta Paolini, Karoline Silva |
dc.subject.por.fl_str_mv |
Lichen planus Hydroxychloroquine Líquen plano Hidroxicloroquina |
topic |
Lichen planus Hydroxychloroquine Líquen plano Hidroxicloroquina |
description |
Variant of lichen planus, lichen planus pilaris (follicular) affects the pilosebaceous unit and can cause scarring alopecia. Lichen planus pigmentosum, another form of presentation of the LP, is characterized by papules or hyperchromic macules that can be itching, and is more frequent in melanodermic patients. We present the case of a patient who simultaneously presented two lichen planus subtypes: pilaris on the scalp, neck and forearms and pigmentosum on the face, which is rare. Trichoscopy improved visualization of changes on the scalp. There were hyperchromic macules on the forehead and erythematous follicular papules on the cervical area. After performing biopsies, the diagnosis of lichen planus pilaris on the scalp, lichen planus pigmentosum on the forehead and lichen planus pilaris on the cervical region were all confirmed. Lesions were initially treated with topical steroids, resulting in clinical improvement, but new lesions were presented on the forearms, and so the use of hydroxychloroquine was initiated. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-07-02T00:00:00Z |
dc.type.driver.fl_str_mv |
journal article info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.29021/spdv.71.3.201 oai:ojs.revista.spdv.com.pt:article/201 |
url |
https://doi.org/10.29021/spdv.71.3.201 |
identifier_str_mv |
oai:ojs.revista.spdv.com.pt:article/201 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revista.spdv.com.pt/index.php/spdv/article/view/201 https://doi.org/10.29021/spdv.71.3.201 https://revista.spdv.com.pt/index.php/spdv/article/view/201/185 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Dermatologia e Venereologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Dermatologia e Venereologia |
dc.source.none.fl_str_mv |
Journal of the Portuguese Society of Dermatology and Venereology; Vol 71 No 3 (2013): Julho - Setembro; 403-406 Revista da Sociedade Portuguesa de Dermatologia e Venereologia; v. 71 n. 3 (2013): Julho - Setembro; 403-406 2182-2409 2182-2395 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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1777301586671828992 |