Lichen spinulosus is a rare skin disorder characterized by follicular keratotic papules that are grouped into large patches.[2] It is a variant of keratosis pilaris named for its resemblance to a patch of lichen.

Lichen spinulosus
Other namesKeratosis spinulosa[1]: 776 
SpecialtyDermatology

Signs and symptoms

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It appears as a cluster of keratotic spines that resemble sandpaper and 2–5 cm hypopigmented or skin-colored follicular papules.[citation needed] The lesions typically appear on different parts of the skin and last for a few weeks or months.[3]

Causes

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It could be inherited or linked to substances like gold, arsphenamine, thallium, vitamin A deficiency, diphtheria toxin, atopy, lithium medication, Hodgkin's disease, Crohn's disease, HIV, or alcoholism.[3]

Diagnosis

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The histologic observations reveal a dermal lymphohistiocytic infiltration focused around hair follicles.[3]

Treatment

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Treatments include topical keratolytics and emollients such as urea, adapalene, salicylic acid, vitamin A, tretinoin, and tacalcitol.[3]

See also

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References

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  1. ^ James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. ISBN 0-7216-2921-0.
  2. ^ Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 978-1-4160-2999-1.
  3. ^ a b c d Aghighi, Maryam; Pukhalskaya, Tatsiana; Brickley, Sylvana; Smoller, Bruce (2020-06-12). "An Uncommon Case of Lichen Spinulosus in an Adult Patient Clinically Mmimicking Folliculotropic Mycosis Fungoides". Cureus. 12 (6). Springer Science and Business Media LLC: e8572. doi:10.7759/cureus.8572. ISSN 2168-8184. PMC 7358940. PMID 32670708.

Further reading

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