Nanda A, Al-Ajmi H S, Al-Sabah H, Al-Hasawi F, Alsaleh Q A
Asad Al-Hamad, Dermatology Centre, Al-Sabah Hospital, Kuwait.
Pediatr Dermatol. 2001 Jan-Feb;18(1):1-4. doi: 10.1046/j.1525-1470.2001.018001001.x.
Lichen planus (LP) in children is a rare entity. We report 23 cases of childhood LP seen over a period of 7 years. Ninety-six percent of the children were of Arab ancestry. There were 52% boys and 48% girls. Classic LP was the most common clinical variant (70%), followed by eruptive generalized LP (13%). A majority of the patients had mild, localized disease. Oral involvement was seen in 39% of patients. Topical steroids were the mainstay of treatment in most of the cases. Children with chronic and recurrent disease responded to dapsone therapy, whereas in those with eruptive and widespread disease, UVB phototherapy was found to be safe and effective. The present report highlights the salient clinical features, treatment, and course of LP in children in Kuwait compared to those reported in children of other countries as well as those of adults.
儿童扁平苔藓（LP）较为罕见。我们报告了7年间所见的23例儿童LP病例。96%的儿童为阿拉伯裔。男孩占52%，女孩占48%。经典型LP是最常见的临床类型（70%），其次是泛发性发疹性LP（13%）。大多数患者病情轻度且局限。39%的患者有口腔受累。在大多数病例中，局部使用类固醇是主要治疗方法。患有慢性复发性疾病的儿童对氨苯砜治疗有反应，而对于发疹性和广泛性疾病的儿童，发现窄谱中波紫外线（UVB）光疗安全有效。本报告突出了科威特儿童LP与其他国家儿童以及成人LP相比的显著临床特征、治疗方法及病程。
