alexa Pigmented Papules and Patches of the Folds: A Case Series of Lcihen Planus Pigmentosus Inversus with Review of the Literature
ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

Pigmented Papules and Patches of the Folds: A Case Series of Lcihen Planus Pigmentosus Inversus with Review of the Literature

Cagalli A1*, Colato C2, Schena D1 and Girolomoni G1
1Department of Medicine, Section of Dermatology and Venereology, University of Verona, Italy
2Department of Pathology and Diagnostics, Section of Pathology, University of Verona, Italy
*Corresponding Author : Anna Cagalli
Department of Medicine, Section of Dermatology,
University of Verona, Italy
Tel: +39-045-8122547
Fax: +39-045-8122547
E-mail: [email protected]
Received February 02, 2016; Accepted March 09, 2016; Published March 14, 2016
Citation: Cagalli A, Colato C, Schena D, Girolomoni G (2016) Pigmented Papules and Patches of the Folds: A Case Series of Lichen Planus Pigmentosus Inversus with Review of the Literature. J Clin Case Rep 6:732. doi:10.4172/2165-7920.1000732
Copyright: © 2016 Cagalli A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

We report nine cases of Lichen Planus Pigmentosus (LPP) inversus in Caucasian patients. They were 5 women and 4 men aged from 29 to 77 years with violaceous hyper pigmented ovalar or annular macules and patches mostly located at axillary folds but also groin, submammary folds, popliteal and genital regions. Histological examinations showed a band-like lymphocytic infiltrate in the upper dermis and melanophages in the papillary dermis. LPP inversus is a rare variant of LPP appearing in non-sun exposed areas. In contrast to LPP which occurs almost exclusively in dark skinned individuals, a comprehensive review of the literature revealed that about half of the cases reported of LPP inversus affects fair skinned individuals including Caucasian patients.

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