Several unusual variants of lichen nitidus are described in the literature. Spinous follicular lichen nitidus with perifollicular granulomas is one such variant characterized by generalized follicular as well as nonfollicular keratotic papules, which show perifollicular granulomas on histopathology as well as a lichenoid granulomatous tissue reaction typical of lichen nitidus. Owing to its atypical clinical and histopathologic manifestations, it raises several clinical possibilities and can be a diagnostic challenge. We report this rare variant of lichen nitidus in a 19-year-old female, and discuss its clinical and histopathological differential diagnosis.

译文

:地衣针的几种不寻常的变种在文献中有描述。伴有滤泡性肉芽肿的棘状卵泡性地衣针状变体是一种这样的变体,其特征在于全身性滤泡性和非滤泡性角化丘疹,其表现出组织病理学上的滤泡性肉芽肿以及典型的地衣性肉芽肿性肉芽肿组织反应。由于其非典型的临床和组织病理学表现,它提出了几种临床可能性,并且可能是诊断上的挑战。我们在19岁的女性中报告了这种罕见的地衣针状变体,并讨论了其临床和组织病理学鉴别诊断。

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