New-onset childhood extensive cutaneous lichen planus following asymptomatic COVID-19 infection: report of a case

IF 1.4 Q3 PEDIATRICS Revista Paulista De Pediatria Pub Date : 2023-10-23 DOI:10.1590/1984-0462/2024/42/2023004
Fatemeh Ansari Asl, Mozhdeh Sepaskhah, Marzie Rassafian, F. Aslani, F. Jowkar
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Abstract

ABSTRACT Objective: The objective of this study was to describe a case of cutaneous lichen planus (LP) that appeared following COVID-19 infection. Case description: We report a case of extensive cutaneous classic familial LP in a 4-year-old male child after an asymptomatic serologically confirmed COVID-19 infection. The patient developed intensely itchy, purple, flat-topped papules and plaques, mainly on the dorsal surface of the hands, feet, forearms, and shins. Histopathological examination of the skin biopsy showed vacuolar and apoptotic degeneration of the basal cell layer with a band-like lymphocyte infiltrate at the dermo-epidermal junction and confirmed the diagnosis of LP. Comments: LP could be considered among the differential diagnoses of pediatric post-COVID inflammatory skin lesions, either in the patients recovering from COVID-19 infection or in the suspicious asymptomatic cases in close contact with COVID-19-infected patients.
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无症状感染 COVID-19 后新发的儿童大面积皮肤扁平苔藓:一个病例的报告
摘要 目的:本研究旨在描述一例感染 COVID-19 后出现的皮肤扁平苔藓(LP)病例。病例描述我们报告了一例经血清学确诊感染 COVID-19 后出现大面积皮肤典型家族性扁平苔藓的 4 岁男童病例。患者主要在手、脚、前臂和小腿背侧出现剧烈瘙痒的紫色平顶丘疹和斑块。皮肤活检组织病理学检查显示基底细胞层空泡化和凋亡变性,真皮表皮交界处有带状淋巴细胞浸润,确诊为 LP。评论:COVID-19感染后恢复期患者或与COVID-19感染者密切接触的无症状可疑病例可考虑将LP作为小儿COVID后炎症性皮肤病变的鉴别诊断之一。
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来源期刊
Revista Paulista De Pediatria
Revista Paulista De Pediatria Medicine-Pediatrics, Perinatology and Child Health
CiteScore
2.30
自引率
0.00%
发文量
100
审稿时长
11 weeks
期刊介绍: The Revista Paulista de Pediatria publishes original contributions, case reports and review of clinical research with methodological approach in the areas of health and disease of neonates, infants, children and adolescents. The objective is to disseminate research with methodological quality on issues that comprise the health of children and adolescents. All articles are freely available online, via SciELO. Its abbreviated title is Rev. Paul. Pediatr., which should be used in bibliographies, footnotes and bibliographical references and strips.
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