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Lichen Striatus vs Nevus Unius Lateralis. Presented by Dr. Margaret G. Mahoney.
The patient is a 2½-year-old white girl. A younger brother had 18 hemangiomas on the skin soon after birth.
Five days after birth, the parents noted an erythematous ``rash'' on the inner surface of the thigh and on the buttock. This ``rash'' persisted, and the area of involvement has increased with the child's growth.
On the inner surface of the right thigh, there is an erythematous, raised, extremely pruritic dermatosis. Similar lesions are noted on the right buttock, right labium, and right wrist. These lesions cause the child to waken during the night with itching.
Laboratory Data.—WBC is 11,000, with polymorphonuclears 40%, lymphocytes 60%; urinalysis normal. No biopsy has been done.
Treatment has consisted of antihistamines orally with no improvement and various ointments locally. Fluocinolone acetonide (Synalar) gives slight relief from pruritus; Synalar occlusive dressings made the
PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Dermatol. 1963;87(6):782–785. doi:10.1001/archderm.1963.01590180110025
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