Department of Dermatology, Steve Biko Academic Hospital, University of Pretoria, Pretoria, South Africa.
Australas J Dermatol. 2011 May;52(2):e15-8. doi: 10.1111/j.1440-0960.2010.00655.x. Epub 2010 May 12.
Two cases of segmental lichen aureus with a response to topical 0.1% methylprednisolone aceponate ointment are reported. A 9-year-old child and a 23-year-old man showed complete resolution of their lesions following treatment with the latter after 7 months and 4 months, respectively. Lichen aureus is a rare form of the pigmented purpuric dermatoses characterized by golden-brown and lichenoid macules and papules, most often on the lower extremities. Segmental presentations have seldom been described. Histology showed a lichenoid infiltrate with extravasation of red blood cells and haemosiderin deposition. The aetiology is unclear and treatment is disappointing. We report an uncommon segmental presentation of lichen aureus with resolution of the lesions after treatment with a topical corticosteroid.
报告两例节段性金黄色苔藓样糠疹，外用 0.1%醋酸甲泼尼龙治疗有效。1 例 9 岁患儿和 1 例 23 岁男性，分别在接受治疗 7 个月和 4 个月后，皮损完全消退。金黄色苔藓样糠疹是一种罕见的色素性紫癜性皮肤病，表现为棕黄色苔藓样斑丘疹，常发生于下肢。节段性皮损较少见。组织学显示为苔藓样浸润，红细胞外渗和含铁血黄素沉积。病因不明，治疗效果不佳。我们报告 1 例罕见的节段性金黄色苔藓样糠疹，外用皮质类固醇治疗后皮损消退。
