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Clinical and Histologic Features of Pityriasis Lichenoides et Varioliformis Acuta in Children

Clinical and Histologic Features of Pityriasis Lichenoides et Varioliformis Acuta in Children Abstract • Pityriasis lichenoides et varioliformis acuta (PLEVA) is commonly thought of as a disease of young adults, yet we identified five cases, involving patients who were 3, 5, 6, 8, and 11 years of age, among 13 000 consecutive specimens submitted to a general dermatopathology laboratory during a 15-week period. The clinical and histologic features of PLEVA in our cases were similar to those reported for adults, except that no lesions were observed on the scalp or mucous membranes of children. A high index of suspicion and biopsy specimens of suspected lesions are often needed to differentiate PLEVA from other papular and crusted eruptions seen in the pediatric age group. These include reactions to arthropods, Gianotti-Crosti syndrome, varicella, and erythema multiforme. Histologically, papular eczema and pityriasis rosea may be misdiagnosed as PLEVA. (Arch Dermatol 1987;123:1335-1339) References 1. Solomon LM, Esterly NB, Loeffel ED: Adolescent Dermatology , Saunders Monographs in Major Problems in Clinical Pediatrics. Philadelphia, WB Saunders Co, 1978, vol 19, pp 426-428. 2. Hurwitz S: Clinical Pediatric Dermatology . Philadelphia, WB Saunders Co, 1981. 3. Nelson WE, Vaughn VC, McKay RJ, et al: Textbook of Pediatrics . Philadelphia, WB Saunders Co, 1979, p 1913. 4. Soter N: in Fitzpatrick TB (ed): Dermatology in General Medicine. New York, McGraw-Hill International Book Co, 1979, pp 665-668. 5. Rasmussen JE: Mucha-Habermann's disease . Arch Dermatol 1979;115:676-677.Crossref 6. Shavin JS, Jones TM, Aton JK, et al: Mucha-Habermann's disease in children . Arch Dermatol 1978;114:1679-1680.Crossref 7. Auster BI, Santa Cruz DJ, Eisen AZ: Febrile ulceronecrotic Mucha-Habermann's disease with interstitial pneumonitis . J Cutan Pathol 1979;6:66-76.Crossref 8. Warin AP: Hypochromatic variant of pityriasis lichenoides chronica . Clin Exp Dermatol 1979;3:85-88.Crossref 9. Ellsworth JE, Cassidy JT, Ragsdale CG, et al: Mucha-Habermann disease in children: The association with rheumatic diseases . J Rheumatol 1982;9:319-324. 10. Truhan AP, Herbert AA, Esterly NB: Pityriasis lichenoides in children: Therapeutic response to erythromycin . J Am Acad Dermatol 1986;15:66-70.Crossref 11. Ingram JT: Pityriasis lichenoides and parapsoriasis . Br J Dermatol 1953;65:293-299.Crossref 12. Marks R, Black MM, Jones EW: Pityriasis lichenoides: A reappraisal . Br J Dermatol 1972;86:215-225.Crossref 13. Szymanski FJ: Pityriasis lichenoides et varioliformis acuta . Arch Dermatol 1959;79:7-16.Crossref 14. Black MM, Marks R: The inflammatory reaction in pityriasis lichenoides . Br J Dermatol 1972;87:533-539.Crossref 15. Muhlbauer JE, Bahn AK, Harrist TJ, et al: Immunopathology of pityriasis lichenoides acuta . J Am Acad Dermatol 1984; 10:783-795.Crossref 16. Marks R, Black MM: The epidermal component of pityriasis lichenoides . Br J Dermatol 1972;87:106-113.Crossref 17. Hood AF, Mark EJ: Histopathologic diagnosis of pityriasis lichenoides et varioliformis acuta and its clinical correlation . Arch Dermatol 1982;118:478-482.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Clinical and Histologic Features of Pityriasis Lichenoides et Varioliformis Acuta in Children

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Publisher
American Medical Association
Copyright
Copyright © 1987 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1987.01660340097028
Publisher site
See Article on Publisher Site

Abstract

Abstract • Pityriasis lichenoides et varioliformis acuta (PLEVA) is commonly thought of as a disease of young adults, yet we identified five cases, involving patients who were 3, 5, 6, 8, and 11 years of age, among 13 000 consecutive specimens submitted to a general dermatopathology laboratory during a 15-week period. The clinical and histologic features of PLEVA in our cases were similar to those reported for adults, except that no lesions were observed on the scalp or mucous membranes of children. A high index of suspicion and biopsy specimens of suspected lesions are often needed to differentiate PLEVA from other papular and crusted eruptions seen in the pediatric age group. These include reactions to arthropods, Gianotti-Crosti syndrome, varicella, and erythema multiforme. Histologically, papular eczema and pityriasis rosea may be misdiagnosed as PLEVA. (Arch Dermatol 1987;123:1335-1339) References 1. Solomon LM, Esterly NB, Loeffel ED: Adolescent Dermatology , Saunders Monographs in Major Problems in Clinical Pediatrics. Philadelphia, WB Saunders Co, 1978, vol 19, pp 426-428. 2. Hurwitz S: Clinical Pediatric Dermatology . Philadelphia, WB Saunders Co, 1981. 3. Nelson WE, Vaughn VC, McKay RJ, et al: Textbook of Pediatrics . Philadelphia, WB Saunders Co, 1979, p 1913. 4. Soter N: in Fitzpatrick TB (ed): Dermatology in General Medicine. New York, McGraw-Hill International Book Co, 1979, pp 665-668. 5. Rasmussen JE: Mucha-Habermann's disease . Arch Dermatol 1979;115:676-677.Crossref 6. Shavin JS, Jones TM, Aton JK, et al: Mucha-Habermann's disease in children . Arch Dermatol 1978;114:1679-1680.Crossref 7. Auster BI, Santa Cruz DJ, Eisen AZ: Febrile ulceronecrotic Mucha-Habermann's disease with interstitial pneumonitis . J Cutan Pathol 1979;6:66-76.Crossref 8. Warin AP: Hypochromatic variant of pityriasis lichenoides chronica . Clin Exp Dermatol 1979;3:85-88.Crossref 9. Ellsworth JE, Cassidy JT, Ragsdale CG, et al: Mucha-Habermann disease in children: The association with rheumatic diseases . J Rheumatol 1982;9:319-324. 10. Truhan AP, Herbert AA, Esterly NB: Pityriasis lichenoides in children: Therapeutic response to erythromycin . J Am Acad Dermatol 1986;15:66-70.Crossref 11. Ingram JT: Pityriasis lichenoides and parapsoriasis . Br J Dermatol 1953;65:293-299.Crossref 12. Marks R, Black MM, Jones EW: Pityriasis lichenoides: A reappraisal . Br J Dermatol 1972;86:215-225.Crossref 13. Szymanski FJ: Pityriasis lichenoides et varioliformis acuta . Arch Dermatol 1959;79:7-16.Crossref 14. Black MM, Marks R: The inflammatory reaction in pityriasis lichenoides . Br J Dermatol 1972;87:533-539.Crossref 15. Muhlbauer JE, Bahn AK, Harrist TJ, et al: Immunopathology of pityriasis lichenoides acuta . J Am Acad Dermatol 1984; 10:783-795.Crossref 16. Marks R, Black MM: The epidermal component of pityriasis lichenoides . Br J Dermatol 1972;87:106-113.Crossref 17. Hood AF, Mark EJ: Histopathologic diagnosis of pityriasis lichenoides et varioliformis acuta and its clinical correlation . Arch Dermatol 1982;118:478-482.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Oct 1, 1987

References