A clinical case of pityriasis lichenoides chronica presenting with palpable purpura after streptococcal infection.
| Autor: | Gancheva R; Sofiamed University Hospital, St Kliment Ohridski University, Sofia, Bulgaria., Pozharashka J; Sofia Dermatology Clinic, Sofia, Bulgaria., Koundurdjiev A; St Ivan Rilski University Hospital, Sofia, Bulgaria., Nikolova-Vlahova M; St Ivan Rilski University Hospital, Sofia, Bulgaria., Yankova P; Alexandrovska University Hospital, Medical University of Sofia, Sofia, Bulgaria., Marinchev L; Sofiamed University Hospital, St Kliment Ohridski University, Sofia, Bulgaria. |
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| Jazyk: | angličtina |
| Zdroj: | Folia medica [Folia Med (Plovdiv)] 2024 Jun 30; Vol. 66 (3), pp. 426-430. |
| DOI: | 10.3897/folmed.66.e111548 |
| Abstrakt: | Pityriasis lichenoides is a rare inflammatory skin condition presenting with diffuse red-brown papules with evolution polymorphism and mica-like crust on older skin lesions. We present a 60-year-old female patient with pityriasis lichenoides chronica that manifested ten days after streptococcal pharyngitis. Initially, palpable purpura appeared on the lower extremities and later, erythematous-squamous papules and plaques appeared at the site of the palpable purpura and on the upper limbs and trunk. The patient had no history of hematological malignancy, viral hepatitis, kidney involvement, systemic rheumatic disease, or ANCA-associated vasculitis. After administration of methylprednisolone 20 mg for one month and an antimalarial agent (hydroxychloroquine 200 mg, 1 tablet bid) for three months, the skin lesions subsided without recurrence. (This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.) |
| Databáze: | MEDLINE |
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