Eyler Jennifer T, Garib George, Thompson Kathryn R, Dahiya Madhu, Swan James W
Division of Dermatology, Loyola University Medical Center, Maywood, Illinois, USA.
Department of Pathology, Loyola University Medical Center, Maywood, Illinois, USA.
Cutis. 2017 Aug;100(2):119-122.
Annular atrophic lichen planus (AALP) is a rare variant of lichen planus. The clinical presentation of AALP shows distinct atrophic plaques with elevated borders on the trunk and extremities. Histopathologic findings generally reveal a lichenoid dermatitis in active lesions with a distinct loss of elastic fibers in the center of the lesions. We report a unique case of AALP, which highlights the chronicity of the eruption. Our patient showed early signs of improvement with hydroxychloroquine and acitretin, suggesting a role for systemic therapy in the treatment of AALP.
环状萎缩性扁平苔藓（AALP）是扁平苔藓的一种罕见变体。AALP的临床表现为躯干和四肢出现边界隆起的明显萎缩性斑块。组织病理学检查结果通常显示活动性病变中有苔藓样皮炎，病变中心弹性纤维明显缺失。我们报告了一例独特的AALP病例，突出了皮疹的慢性病程。我们的患者使用羟氯喹和阿维A治疗后出现早期改善迹象，提示全身治疗在AALP治疗中的作用。
