Effective Topical Combination Therapy for Treatment of Lichen Striatus in Children: A Case Series and Review

July 2012 | Volume 11 | Issue 7 | Case Reports | 872 | Copyright © July 2012

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including hypomelanosis of Ito, epidermal nevus, LS, and less likely, lichen planus. A 4 mm punch biopsy revealed lichenoid spongiotic dermatitis with focal inflammatory infiltrates around eccrine glands and mild papillomatosis (Figure 3). Therefore, LS was the most likely diagnosis. Although early- stage linear epidermal nevus may have similar histologic findings, this condition is usually progressive and recalcitrant to topical treatment. Tazarotene cream and desonide ointment were prescribed for application to the lesions on the right face and right upper extremity. At the 2-month follow-up visit, the patient showed noticeable improvement at the treated sites, with minimal hypopigmentation along the right jaw and several residual confetti-like hypopigmented macules on the right malar cheek. Overall, there was less pigment change compared to the surrounding area. The previous linear, hypopigmented streak on the right arm improved markedly and was no longer palpable.

Case 3

A Caucasian boy, aged 7 years, presented with a 1-year history of changes in the nailbed of his right middle finger. Initially, his parents had attributed these changes to trauma, but over the following several months, the patient also developed linear erythematous patches with flat-topped papules on the dorsal hand extending to the adjacent ring finger. The patient complained of pruritus and irritation. With use of 1% hydrocortisone for over 2 months, little improvement was noted. Fluocinolone 0.025% ointment and tazarotene 0.1% gel were prescribed to be