Scleroatrophic lichen

Scleroatrophic lichen (synonyms: guttery scleroderma, white spot disease, Tsumbush's lichen).

[1], [2]

Causes of scleroatrophic lichen

The causes and pathogenesis of scleroatrophic lichen are not fully elucidated. Pathologies of the nervous, endocrine and immune systems, infectious agents, etc. Play an important role in the occurrence of the disease.

[3], [4], [5]

Gistopathology

In the epidermis, in the early stages of the disease, there are thickening, hyperkeratosis, horn plugs in the mouths of the hair follicles, in the late - atrophy. The dermis is swollen, lymphocytic infiltration is observed, the capillaries are dilated, the collagen fibers are homogeneous.

[6], [7]

Symptoms of scleroatrophic lichen

Scleroatrophic lichen is more common in women. The rash is localized mostly on the neck, upper chest, in the axillary hollows, on the shoulders, genitals, sometimes on the back, abdomen, thighs. The primary element is a papule the size of a lentil or 3-5 mm in diameter, from a creamy shape, similar to the old ivory, to whitish-gray with a pearly shade. At the beginning of the disease, the clinical picture resembles white spots. Sometimes vkrut papules marked thin pink rim. Closely located papules merge into plaques, slightly elevated above the level of the surrounding skin. In the future, they give the impression of a few sunk. The clinical picture is a miniature of plaque scleroderma. Sometimes on the surface of plaques there are telangiectasias, petechiae, blisters. In the follicular arrangement, the hair follicles are dilated, there is a large number of follicular horn plugs of a brownish-dirty color, somewhat resembling comedones. Localization of scleroatrophic lichen in the region of the vulva is called vulvar craurosis, and in the foreskin and head of the penis, it is called the penis vulvar. In this case, the lesion is different dryness, sclerosed. In women, the entrance to the vagina is narrowed, there is intolerable itching. In men, subjective sensations do not exist. Narrowing the foreskin leads to phimosis. Over time, there is atrophy of the skin, there is pigmentation of the skin of the lesion.

[8], [9]

Diagnosis of scleroatrophic lichen

Scleroatrophic lichen should be distinguished from limited scleroderma, discoid lupus erythematosus, diaper rash, candidiasis.

[10], [11], [12]

Treatment of scleroatrophic lichen

Scleroatrophic lichen is treated with the use of fortifying antimalarial drugs (delagil, resorhin), corticosteroid ointments (corticosteroids are not prescribed at the stage of atrophy), means that improve blood circulation and tissue traffic.