Denguezli M, Nouira R, Jomaa B
Service de Dermatologie, CHU Farhat Hached, Sousse, Tunisie.
Ann Dermatol Venereol. 1994;121(8):543-6.
Actinic lichen planus is a distinct variant of lichen planus involving mainly children and teenagers with racial predilection to orientals. The clinical and histopathologic features of actinic lichen planus in ten tunisian patients were studied.
The mean age was 14 years. The eruption was distributed over sun-exposed areas, with particular predilection for the face. In most cases the lesions consisted of erythematous brownish plaques with an annular configuration. Less commonly, hypermelanotic patches, sometimes assuming a melasma-like appearance, were present. The histopathologic feature consisted of a lichenoid dermatitis.
The cause of actinic lichen planus is unknown. Sunlight appears to be the major precipitating factor and therefore the disease would best be included among the photodermatoses.
光化性扁平苔藓是扁平苔藓的一种独特变体,主要累及儿童和青少年,在东方人群中有种族易感性。对10例突尼斯患者的光化性扁平苔藓的临床和组织病理学特征进行了研究。
平均年龄为14岁。皮疹分布于阳光暴露部位,尤其好发于面部。在大多数情况下,皮损由具有环状形态的红斑棕色斑块组成。较少见的是出现色素沉着过度斑,有时呈现黄褐斑样外观。组织病理学特征为苔藓样皮炎。
光化性扁平苔藓的病因尚不清楚。阳光似乎是主要的诱发因素,因此该病最好归类于光皮肤病。