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Lichen planus-like atopic dermatitis: expanding the differential diagnosis of spongiotic dermatitis
Journal article   Peer reviewed

Lichen planus-like atopic dermatitis: expanding the differential diagnosis of spongiotic dermatitis

Brett T. Summey, Sarah E. Bowen and Herbert B. Allen
Journal of cutaneous pathology, v 35(3)
01 Mar 2008
PMID: 18251746

Abstract

Dermatology Life Sciences & Biomedicine Pathology Science & Technology
Spongiotic dermatitis represents a commonly encountered histopathological pattern seen by dermatopathologists. The differential diagnosis of lymphocyte predominant acute spongiotic dermatitis typically entails atopic dermatitis (AD), contact dermatitis, nummular dermatitis, pityriasis rosea and seborrheic dermatitis. Recently, our group has characterized a distinct subtype of spongiotic dermatitis occurring exclusively in heavily pigmented patients. Clinically, lesions of this subtype are nearly indistinguishable from lichen planus. However, the histology is contradistinctive to classic lichen planus. The purpose of this report is to raise awareness among dermatopathologists of this variant as a possible diagnosis in spongiotic dermatitis specimens submitted as lichen planus.

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Web of Science research areas
Dermatology
Pathology
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