Palmar-plantar lichen sclerosus et atrophicus

Abstract

A 57-year-old woman has had lichen sclerosus et atrophicus confined to the palms and soles for the past six years. Diagnosis was confirmed by histologic study. Our patient's disease has been resistant to therapy.

Prurigo nodularis of Hyde: an update

“…In 1979, Petrozzi et al . 8 described a woman presenting with palmoplantar LS, similar to the case described here. Since that time, there have been only a few reports of exclusive acral involvement.…”

Palmar lichen sclerosus et atrophicus

“…The first reported patient with palmar involvement of LS&A was described by Purres and Krull 2 in 1971; their patient also had widespread cutaneous involvement and was resistant to treatment. In 1979, Petrozzi et al 4 reported a case of LS&A limited exclusively to the palms and soles that was resistant to salicylic acid and topical steroids. Tudino and Wong 3 in 1984 reported a female patient with extragenital LS&A with involvement of the palms and flexural wrists with hemorrhagic bullae.…”

“… 1 To our knowledge, we report the fifth case of extragenital LS&A with palmar involvement in the English-language literature. 2 , 3 , 4 , 5…”

Lichen scléreux acral

“…Nous en avons trouvé cinq dans la littérature : deux touchant les faces palmoplantaires [10,11], sous forme de papules kératosiques déprimées des paumes, et de papules blanches lisses ou d'érythème desquamatif sur les plantes et trois atteignant les faces dorsales [12,13,9] sous forme de papules pâles scléreuses, ou de macules érythémateuses des replis sus-unguéaux des doigts, avec parfois une onychopathie [9,12] à type d'onychodystrophie ou d'ongles striés. Les lésions décrites paraîssent similaires à celles de la malade présentée, mais aucun de ces cinq cas ne touchait les pieds et les mains sur leurs deux faces, comme dans notre observation.…”