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Lichenoid and other clinical presentations of atopic dermatitis in an inner city practice
Journal article   Peer reviewed

Lichenoid and other clinical presentations of atopic dermatitis in an inner city practice

Herbert B Allen, Nathan P Jones and Sarah E Bowen
Journal of the American Academy of Dermatology, v 58(3), pp 503-504
Mar 2008
PMID: 18280352

Abstract

African Americans Anti-Inflammatory Agents - administration & dosage Anti-Inflammatory Agents - therapeutic use Arm Child, Preschool Dermatitis, Atopic - complications Dermatitis, Atopic - drug therapy Dermatitis, Atopic - pathology Fluocinolone Acetonide - administration & dosage Fluocinolone Acetonide - analogs & derivatives Fluocinolone Acetonide - therapeutic use Humans Hyperpigmentation - etiology Leg Lichenoid Eruptions - pathology Male Middle Aged Ointments Poverty Areas Skin Pigmentation Triamcinolone - administration & dosage Triamcinolone - therapeutic use
Atopic dermatitis (AD) has many different clinical presentations. In our inner city practice, we have observed a variant of AD in our heavily pigmented patients that we have termed lichen planus-like atopic dermatitis because of its clinical similarity to lichen planus. Clinically, this variant may be distinguished by the presence on extensor surfaces and a more rapid response to treatment. Histologically, in lichen planus-like AD, a spongiotic dermatitis is present; further, there is no lichenoid dermatitis evident. We compare this presentation with the others seen over an eight-month interval in our practice. We report on a lichen planus-like variant of atopic dermatitis in our African American patients. A limitation to this report is the relatively small sample size. Facial/extensor is the most common presentation of atopic dermatitis in our predominantly minority clinic.

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Dermatology
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