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lichen aureus
Pathology:
- dense lichenoid lymphocytic infiltrate
- siderophages
- dense, bandlike lymphocytic infiltrate, with hemorrhage & siderophages, in all patients
- frequent detection of a T-cell clone in lesions (50%)
Clinical manifestations:
- presents as stable, golden brown lesions, usually on the legs
- can persist for years
- lesions distributed asymmetrically on the lower extremities in 65% of the patients
- lesions of the upper extremities, buttocks, back, shoulders, & trunk (35%)
Complications:
- atypical lesions may evolve into mycosis fungoides [1]
General
skin disease (dermatologic disorder, dermatopathy, dermatosis)
References
- Fink-Puches R et al.
Lichen aureus: Clinicopathologic features, natural history,
and relationship to mycosis fungoides.
Arch Dermatol 2008 Sep; 144:1169.
PMID: 18794462