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Lichen Aureus in Childhood

1991; Wiley; Volume: 8; Issue: 4 Linguagem: Inglês

10.1111/j.1525-1470.1991.tb00933.x

1525-1470

Carlo Gelmetti, Danilo Cerri, Ramón Grimalt,

Cutaneous lymphoproliferative disorders research

Lichen aureus is a rare asymptomatic dermatosis of unknown origin that is now classified in the group of pigmented purpuric dermatoses. The eruption consists of asymptomatic, roundish or irregular, lichenoid erythematous-purpuric papules with a tendency to coalesce in patches, most prevalent on the limbs. No meaningful laboratory abnormalities have been found. Histologically, the epidermis is normal, with a lymphohistiocytic, bandlike infiltrate with extravasated blood red cells and hemosiderin deposits observed in the dermis. During the last 20 years we have followed eight new patients, which represent 0.05% of our hospitalized patients. In five of eight patients the disease resolved in two to four years. No therapy has been carried out on these children, since lichen aureus has a tendency for slow, spontaneous improvement and resolution.