Lichen Striatus - Causes, Picture, Treatment and Symptoms of Lichen Striatus

Lichen striatus is a rash that consists of small raised bumps. It usually involves the arms and legs, but can affect any part of the body. It occurs mainly in children aged between 5 and 15 years. Females are affected two to three times more than males.

Lichen planus may cause a small number of skin lesions or less often affect a wide area of the skin and mucous membranes. It is not associated with any other disease except for rarely skin cancer as noted above. Skin affected by lichen sclerosus is usually white and sometimes there is a fine, crinkling texture to it. 

Symptoms of Lichen Striatus

Usually there are no symptoms but some patients may complain of slight or intense itching. Lichen striatus usually does not cause any itching or other symptoms. Lesions extending to the upper nail fold affect the nail. Sometimes the nail alone may be involved for months before the appearance of a linear band extending up the extremity.

A preliminary diagnosis may be made on the way your skin or mouth lesions look. A skin lesion biopsy or biopsy of a mouth lesion can confirm the diagnosis. Additional blood tests may be done to rule out hepatitis.

Treatment of Lichen Striatus

There is no effective treatment for lichen striatus and in most cases none is necessary. Very strong topical steroids under plastic occlusion may help, but intralesional steroids are more effective. Several courses of treatment may be necessary. It usually resolves within 6 months but may leave temporary pale or dark marks (hypopigmentation or hyperpigmentation).

The condition is self-limiting resolving on it's own usually in under a year. Treatment can improve the condition in some cases. It usually resolves within 6 months but may leave temporary pale or dark marks (hypopigmentation or hyperpigmentation).

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