Atypic presentation of pityriasis lichenoides et varioliformis acuta, a case report.
Keywords:
Pitiriasis liquenoides,, clasification, treatmentAbstract
Pityriasis lichenoides (PL) is an uncommon, acquired and polymorphic condition, which poses various challenges. It is a difficult and debatable disorder to diagnose, categorize and treat. Pityriasis lichenoides et varioliformis acuta (PLEVA), pitiryasis lichenoides chronica (PLC) and febrile ulceronecrotic Mucha-Habermann disease (FUMHD) are diverse manifestations delineated along a continuum of multiple variants. Histollogically, PL is characterized by interface dermatitis with prominent lymphocytic infiltrate. The most critical ambiguity is the etiology behind this condition, numerous implications have surfaced, yet none has revealed the pathogenic mechanism of these disease. No standard treatment modality exists. A combination therapy is frequently considered the best approach to PL care. We report a case of a patient with PL which initial presentation was compatible with pityriasis rosa or secondary syphilis.
Author Biographies
Silvia Catalina Díaz
RIII Dermatología, Universidad CES.
Luz Adriana Vásquez
Jefe del servicio de dermatología Hospital Pablo Tobón Uribe.
Verónica Molina
Docente del servicio de dermatología Hospital Pablo Tobón Uribe.
Juan Esteban Arroyave
Docente del servicio de dermatología Hospital Pablo Tobón Uribe.
Olga Lucía Forero
Docente del servicio de dermatología Hospital Pablo Tobón Uribe.
Ana Cristina Ruiz
Dermatopatóloga Hospital Pablo Tobón Uribe.
References
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3. Bowers S, Warshaw EM. Pityriasis lichenoides and its subtypes. J Am Acad Dermatol 2006; 55: 557-72.
4. Ackerman AB, Chongchitnant N, Sanchez J. Histologic diagnosis of inflammatory skin diseases: an algorithmic method based on pattern analysis. Baltimore: Lippincott Williams & Wilkins; 1997: 553-60.
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