1989
DOI: 10.1111/j.1365-4362.1989.tb01313.x
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Generalized Lichen Nitidus

Abstract: Two patients, one man aged 65 and one woman aged 48, presenting generalized lichen nitidus are reported. The clinical and histopathologic features of this uncommon presentation of lichen nitidus are illustrated as well as the excellent clinical response to the treatment with an H1-blocking antihistaminic (astemizol).

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Cited by 32 publications
(2 citation statements)
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“…Lichen nitidus presents with tiny, monomorphous, lichenoid, mostly asymptomatic papules in regional or disseminated distribution that shows a pathognomonic histological pattern [ 65 ]. H-1 antihistamines such as astemizole [ 66 , 67 ] and cyproheptadine [ 68 ] have been reported to be beneficial in case reports of patients with generalized lichen nitidus. However, the propensity for the disease to resolve spontaneously makes it difficult to evaluate the true effectiveness of various therapies for this disease [ 69 ].…”
Section: Clinical Applications In Dermatologic Diseasesmentioning
confidence: 99%
“…Lichen nitidus presents with tiny, monomorphous, lichenoid, mostly asymptomatic papules in regional or disseminated distribution that shows a pathognomonic histological pattern [ 65 ]. H-1 antihistamines such as astemizole [ 66 , 67 ] and cyproheptadine [ 68 ] have been reported to be beneficial in case reports of patients with generalized lichen nitidus. However, the propensity for the disease to resolve spontaneously makes it difficult to evaluate the true effectiveness of various therapies for this disease [ 69 ].…”
Section: Clinical Applications In Dermatologic Diseasesmentioning
confidence: 99%
“…However, medical treatment is required when the lesions are persistant, generalized, and when they are considered cosmetically undesirable or accompanied by symptoms such as pruritus. Many therapeutic modalities including topical and systemic corticosteroid, PUVA (2), ultraviolet A/ultraviolet B (UVA/UVB) with systemic corticosteroid (3), dinitrochlorobenzene (DNCB) or diphenylcyclopropenone immunotherapy (4), selective H1 antagonist (5), and even itraconazole (6) and isoniazide (7) have been used to treat LN patients. Especially, PUVA therapy and astemizole have been effective for generalized LN, whereas acitretin demonstrated a reduction in the palmoplantar forms (8).…”
Section: Discussionmentioning
confidence: 99%