Lichen Planus of Zoster Distribution

Wk, Sibley

doi:10.1177/003591573002300404

Cited by 1 publication

(2 citation statements)

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“…Our literature review yielded only 17 such cases with pathological confirmation of LP (Table I). They include 11 men and six women, aged 25-76 years (mean 51.2) [5][6][7][8][9][10][11][12][13][14][15][16][17]. ZLP has a predilection for the trunk and legs.…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, in oral forms of LP, HCV-RNA has been detected by PCR in 93% of lesions and HHV-6 in 67-100% by in situ hybridization or immunohistochemistry [19]. Regarding ZLP resulting from WIP, the etiologic agent likely to be involved is varicella-zoster virus (VZV) [5][6][7][8][9][10][11][12][13][14][15][16][17]. The presence of VZV antigens and/or DNA in cases of zosteriform isotopic phenomenon was searched for in some studies.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Zosteriform lichen planus after herpes zoster: report of a new case of Wolf’s isotopic phenomenon and literature review

Lora

Cota

Kanitakis

2014

Dermatology Online Journal

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The Wolf's isotopic phenomenon corresponds to the occurrence of a skin disease at a body site affected previously by a different, already healed dermatosis. We report a 74-year-old man who presented with a zosteriform eruption consisting of erythematous-scaly, slightly pruritic papules on the right flank some weeks after herpes zoster (HZ) had healed on the same area. Histologic examination showed typical changes of lichen planus, confirming the diagnosis of post-HZ zosteriform lichen planus (ZLP). The lesions regressed with topical steroid treatment. Zosteriform lichen planus (ZLP) is one example of Wolf's isotopic phenomenon appearing after HZ. So far, only 17 cases have been reported in the literature. The precise pathogenesis of ZLP is not well known, although persisting viral proteins could be responsible for the hypersensitivity reaction. We review and discuss the salient clinicopathologic features of this rare entity based on a thorough literature review.

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