Lichen Striatus Albus–A Case Report of a Rare Disease Entity
Abstract
Lichen Striatus | Blaschkitis | ILVEN | Linear Lichen Planus | Linear Scleroderma | Hypomelanosis of Ito | |
---|---|---|---|---|---|---|
Epidermis | Mild acanthosis, focal parakeratosis, hyperkeratosis; basal vacuolization and Civatte bodies may be present [3]. | Spongiosis (more pronounced compared to LS); mild acanthosis; parakeratosis possible [8,9]. | Alternating areas of hypergranulosis with orthokeratosis and agranulosis with parakeratosis (“checkerboard” pattern); psoriasiform hyperplasia [10,11]. | Hypergranulosis, wedge-shaped hyperkeratosis, irregular acanthosis, saw-tooth rete ridges; Civatte bodies may be present [12]. | Usually unremarkable or mild atrophy [13]. | Reduced melanocyte density in the basal epidermis. Decreased number and size of basal melanosomes. Selective reduction in eumelanin. Increased Langerhans cell presence in depigmented areas [14]. |
Dermis | Dense, band-like lichenoid infiltrate at the dermoepidermal junction (DEJ) (similar to LP) associated with perivascular and periappendagealinflammatory infiltrate–involvement of eccrine glands and ducts distinguishes LS from other lichenoid dermatosies [3]. | Less lichenoid pattern; minimal eccrine involvement [8,9]. | Mild superficial perivascular infiltrate; less prominent than in LS [10,11]. | Dense, band-like lichenoid infiltrate along the DEJ; involvement limited to the upper dermis [12,15]. | Thickened, hyalinized collagen bundles; loss of adnexal structures; perivascular lymphocytes [13]. | Absence of extracellular melanin (no signs of pigment leakage). No histological signs of inflammatory infiltration [14]. |
Author Contributions
Funding
Institutional Review Board Statement
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Data Availability Statement
Conflicts of Interest
References
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Zagórska, B.; Żółkiewicz, J.; Biernat, W.; Sobjanek, M.; Sławińska, M. Lichen Striatus Albus–A Case Report of a Rare Disease Entity. Diagnostics 2025, 15, 2367. https://doi.org/10.3390/diagnostics15182367
Zagórska B, Żółkiewicz J, Biernat W, Sobjanek M, Sławińska M. Lichen Striatus Albus–A Case Report of a Rare Disease Entity. Diagnostics. 2025; 15(18):2367. https://doi.org/10.3390/diagnostics15182367
Chicago/Turabian StyleZagórska, Beata, Jakub Żółkiewicz, Wojciech Biernat, Michał Sobjanek, and Martyna Sławińska. 2025. "Lichen Striatus Albus–A Case Report of a Rare Disease Entity" Diagnostics 15, no. 18: 2367. https://doi.org/10.3390/diagnostics15182367
APA StyleZagórska, B., Żółkiewicz, J., Biernat, W., Sobjanek, M., & Sławińska, M. (2025). Lichen Striatus Albus–A Case Report of a Rare Disease Entity. Diagnostics, 15(18), 2367. https://doi.org/10.3390/diagnostics15182367