Lichenoid Actinic Keratosis

Hirsch, Paul J.; Marmelzat, Willard L.

doi:10.1111/j.1365-4362.1967.tb05246.x

Cited by 33 publications

(6 citation statements)

References 6 publications

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“…Because lichenoid inflammation predominates in actinic keratoses (Hirsch & Marmelzat 1967) and seborrheic keratoses (Berman & Winkelmann 1978), which are principally found in older persons, perhaps the wart with lichenoid inflammation in the elderly may be a distinct lesion. According to this study, they are circumscribed, solitary, acral lesions, usually in males, and may more readily undergo inflatnmatory involution similar to the other epithelial keratoses.…”

Section: Discussionmentioning

confidence: 99%

Inflammatory Changes in Verruca Vulgaris

et al. 1980

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Forty-one (8%) of 500 randomly selected biopsy specimens in verruca vulgaris showed evidence of inflammation. The inflammation was lymphocytic and lichenoid in 21 specimens and was associated with papillary hemorrhage and infarction in 23. Clinical review indicated that patients of all ages were represented but that there was a predominance of verrucae of the extremities in older patients. The data suggest the possibility of a distinct solitary acral verruca in the elderly.

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Section: Discussionmentioning

confidence: 99%

Inflammatory Changes in Verruca Vulgaris

et al. 1980

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“…Benign lichenoid keratosis or lichen planus‐like keratosis (LPLKs) is a fairly common lesion that seems to represent a lichenoid reaction to a pre‐existing benign cutaneous lesion, such as solar lentigines, seborrheic keratoses or actinic keratoses 1–3 . LPLKs is often a solitary papule located on the trunk and extremities.…”

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confidence: 99%

Multiple and extensive lichen planus‐like keratoses: an underestimated cutaneous eruption observed in patients with intense sun damage

Toll¹,

Gilaberte²,

Gallardo³

et al. 2006

Acad Dermatol Venereol

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Melanoma erysipeloides: inflammatory metastatic melanoma of the skin. Br J Dermatol 1993; 129: 327-329. 7 Bauza A, Redondo P, Idoate MA. Cutaneous zosteriform squamous cell carcinoma metastasis arising in an immunocompetent patient. Clin Exp Dermatol 2002; 27: 199 -201. 8 Nietd GW, Prioleau PG. Kaposi's sarcoma occurring in a dermatome previously involved by herpes zoster. J Am Acad Dermatol 1988; 18: 448-451. 9 Witten VH, Lazar MP. Multiple superficial benign basal-cell epithelioma of the skin. Report of a case with zosteriform arrangement of lesions and satisfactory response to treatment with thorium X. Br J Dermatol 1952; 64: 97 -103. 10 Lotze MT, Dallal RM, Kirkwood JM, Flickinger JC. Cutaneous melanoma. Stage III disease: management of in-transit disease.

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“…Although Shapiro and Ackerman had emphasized absence of findings suggestive of solar keratosis, such as sparing of adnexal structures, loss of the granular layer and of the “orderly stratified arrangement” of cells, variation of epithelial cells in size and shape, and pronounced cellular atypia [6], subsequent authors interpreted BLK as a variant of actinic keratosis [7,8]. In order to distinguish lesions clearly from actinic keratoses with a lichenoid infiltrate, the term “lichenoid benign keratosis” was introduced in 1976 by Scott and Johnson, who alluded not only to the lack of cellular atypia in BLK but also to the absence of solar elastosis in many cases and to the occurrence of many lesions on the trunk [9].…”

Section: Discussionmentioning

confidence: 99%

Regressing basal-cell carcinoma masquerading as benign lichenoid keratosis

Kulberg

Weyers

2016

Dermatol Pract Concept

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BackgroundBenign lichenoid keratosis (BLK, LPLK) is often misdiagnosed clinically as superficial basal-cell carcinoma (BCC), especially when occurring on the trunk. However, BCCs undergoing regression may be associated with a lichenoid interface dermatitis that may be misinterpreted as BLK in histopathologic sections.MethodsIn order to assess the frequency of remnants of BCC in lesions interpreted as BLK, we performed step sections on 100 lesions from the trunk of male patients that had been diagnosed as BLK.ResultsDeeper sections revealed remnants of superficial BCC in five and remnants of a melanocytic nevus in two specimens. In the original sections of cases in which a BCC showed up, crusts tended to be more common, whereas vacuolar changes at the dermo-epidermal junction and melanophages in the papillary dermis tended to be less common and less pronounced.ConclusionsLesions from the trunk submitted as BCC and presenting histopathologically as a lichenoid interface dermatitis are not always BLKs. Although no confident recommendations can be given on the basis of this limited study, deeper sections may be warranted if lesions are crusted and/or associated with only minimal vacuolar changes at the dermo-epidermal junction and no or few melanophages in the papillary dermis.

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Lichenoid Actinic Keratosis

Cited by 33 publications

References 6 publications

Inflammatory Changes in Verruca Vulgaris

Inflammatory Changes in Verruca Vulgaris

Multiple and extensive lichen planus‐like keratoses: an underestimated cutaneous eruption observed in patients with intense sun damage

Regressing basal-cell carcinoma masquerading as benign lichenoid keratosis

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