• Pediatric dermatology · May 2013

    Case Reports

    Facial lichen striatus in children: retracing the lines of Blaschko.

    • Euphemia W Mu, Rachel Abuav, and Bernard A Cohen.
    • Department of Dermatology, School of Medicine, Johns Hopkins University, Baltimore, MD21287, USA.
    • Pediatr Dermatol. 2013 May 1; 30 (3): 364-6.

    AbstractWe report seven patients with facial lichen striatus along the lines of Blaschko who presented to our pediatric dermatology unit between 2003 and 2009. The mean age of diagnosis was 4.6 years (range 2.5-9 years). Three of the cases were associated with atopic dermatitis, and one case presented with vitiligo. In the six patients for whom we have follow-up, all lesions resolved without pigmentary changes in an average of 11 months. This case series describes the distribution, presentation, and natural history of lichen striatus along facial lines of Blaschko. From our experience, clinical diagnosis and monitoring without biopsy is a reasonable approach to the management of uncomplicated lichen striatus, particularly when the face is involved.© 2012 Wiley Periodicals, Inc.

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