Lichen Striatus Treatment & Management
- Author: June Kim, MD; Chief Editor: Dirk M Elston, MD more...
Medical Care
Because lichen striatus is a self-limited disorder and because the lesions spontaneously regress within 3-12 months, no treatment is needed. The patient and family should be reassured. However, emollients and topical steroids may be used to treat associated dryness and pruritus, if present.[24]
Photodynamic therapy using methyl aminolevulinic acid has been used for the treatment of lichen striatus.[25]
One study reported complete resolution in an adult with a short course of low-dose systemic corticosteroid.[26]
Tosti A, Peluso AM, Misciali C, Cameli N. Nail lichen striatus: clinical features and long-term follow-up of five patients. J Am Acad Dermatol. Jun 1997;36(6 Pt 1):908-13. [Medline].
Hofer T. Lichen striatus in adults or 'adult blaschkitis'?. There is no need for a new naming. Dermatology. 2003;207(1):89-92. [Medline].
Taniguchi Abagge K, Parolin Marinoni L, Giraldi S, Carvalho VO, de Oliveira Santini C, Favre H. Lichen striatus: description of 89 cases in children. Pediatr Dermatol. Jul-Aug 2004;21(4):440-3. [Medline].
Arias-Santiago SA, Sierra Giron-Prieto M, Fernandez-Pugnarie MA, Naranjo-Sintes R. [Lichen striatus following Blaschko lines]. An Pediatr (Barc). Jul 2009;71(1):76-7. [Medline].
Racette AJ, Adams AD, Kessler SE. Simultaneous lichen striatus in siblings along the same Blaschko line. Pediatr Dermatol. Jan-Feb 2009;26(1):50-4. [Medline].
Aloi F, Solaroli C, Pippione M. Diffuse and bilateral lichen striatus. Pediatr Dermatol. Jan-Feb 1997;14(1):36-8. [Medline].
Kurokawa M, Kikuchi H, Ogata K, Setoyama M. Bilateral lichen striatus. J Dermatol. Feb 2004;31(2):129-32. [Medline].
Vukicevic J, Milobratovic D, Vesic S, Milosevic-Jovcic N, Ciric D, Medenica L. Unilateral multiple lichen striatus treated with tacrolimus ointment: a case report. Acta Dermatovenerol Alp Panonica Adriat. Mar 2009;18(1):35-8. [Medline].
Kavak A, Kutluay L. Nail involvement in lichen striatus. Pediatr Dermatol. Mar-Apr 2002;19(2):136-8. [Medline].
Leposavic R, Belsito DV. Onychodystrophy and subungual hyperkeratosis due to lichen striatus. Arch Dermatol. Aug 2002;138(8):1099-100. [Medline].
Al-Niaimi FA, Cox NH. Unilateral lichen striatus with bilateral onychodystrophy. Eur J Dermatol. Jun 5 2009;[Medline].
Coto-Segura P, Costa-Romero M, Gonzalvo P, Mallo-García S, Curto-Iglesias JR, Santos-Juanes J. Lichen striatus in an adult following trauma with central nail plate involvement and its dermoscopy features. Int J Dermatol. Dec 2008;47(12):1324-5. [Medline].
Brennand S, Khan S, Chong AH. Lichen striatus in a pregnant woman. Australas J Dermatol. Aug 2005;46(3):184-6. [Medline].
Monteagudo B, Cabanillas M, Suárez-Amor O, Ramírez-Santos A, Alvarez JC, de Las Heras C. [Adult blaschkitis (lichen striatus) in a patient treated with adalimumab]. Actas Dermosifiliogr. Dec 2010;101(10):891-2. [Medline].
Mun JH, Park HJ, Kim HS, Kim SH, Ko HC, Kim BS. Lichen striatus occurring after allogenic peripheral blood stem cell transplantation in an adult with aplastic anemia. Ann Dermatol. Feb 2012;24(1):87-9. [Medline].
Shepherd V, Lun K, Strutton G. Lichen striatus in an adult following trauma. Australas J Dermatol. Feb 2005;46(1):25-8. [Medline].
Patrizi A, Neri I, Fiorentini C, Chieregato C, Bonci A. Simultaneous occurrence of lichen striatus in siblings. Pediatr Dermatol. Jul-Aug 1997;14(4):293-5. [Medline].
Yaosaka M, Sawamura D, Iitoyo M, Shibaki A, Shimizu H. Lichen striatus affecting a mother and her son. J Am Acad Dermatol. Aug 2005;53(2):352-3. [Medline].
Ciconte A, Bekhor P. Lichen striatus following solarium exposure. Australas J Dermatol. May 2007;48(2):99-101. [Medline].
Hafner C, Landthaler M, Vogt T. Lichen striatus (blaschkitis) following varicella infection. J Eur Acad Dermatol Venereol. Nov 2006;20(10):1345-7. [Medline].
Keegan BR, Kamino H, Fangman W, Shin HT, Orlow SJ, Schaffer JV. "Pediatric blaschkitis": expanding the spectrum of childhood acquired Blaschko-linear dermatoses. Pediatr Dermatol. Nov-Dec 2007;24(6):621-7. [Medline].
Patrizi A, Neri I, Fiorentini C, Bonci A, Ricci G. Lichen striatus: clinical and laboratory features of 115 children. Pediatr Dermatol. May-Jun 2004;21(3):197-204. [Medline].
Taieb A, el Youbi A, Grosshans E, Maleville J. Lichen striatus: a Blaschko linear acquired inflammatory skin eruption. J Am Acad Dermatol. Oct 1991;25(4):637-42. [Medline].
Tilly JJ, Drolet BA, Esterly NB. Lichenoid eruptions in children. J Am Acad Dermatol. Oct 2004;51(4):606-24. [Medline].
Park JY, Kim YC. Lichen striatus successfully treated with photodynamic therapy. Clin Exp Dermatol. Feb 2 2012;[Medline].
Lee DY, Kim S, Kim CR, Kim HJ, Byun JY, Yang JM. Lichen striatus in an adult treated by a short course of low-dose systemic corticosteroid. J Dermatol. Mar 2011;38(3):298-9. [Medline].
Fujimoto N, Tajima S, Ishibashi A. Facial lichen striatus: successful treatment with tacrolimus ointment. Br J Dermatol. Mar 2003;148(3):587-90. [Medline].
Sorgentini C, Allevato MA, Dahbar M, Cabrera H. Lichen striatus in an adult: successful treatment with tacrolimus. Br J Dermatol. Apr 2004;150(4):776-7. [Medline].
Campanati A, Brandozzi G, Giangiacomi M, Simonetti O, Marconi B, Offidani AM. Lichen striatus in adults and pimecrolimus: open, off-label clinical study. Int J Dermatol. Jul 2008;47(7):732-6. [Medline].
Tejera-Vaquerizo A, Ruiz-Molina I, Solis-Garcia E, Moreno-Gimenez JC. [Adult blaschkitis (lichen striatus) successfully treated with topical tacrolimus.]. Actas Dermosifiliogr. Sep 2009;100(7):631-2. [Medline].
Kim GW, Kim SH, Seo SH, Jung DS, Ko HC, Kim MB, et al. Lichen striatus with nail abnormality successfully treated with tacrolimus ointment. J Dermatol. Nov 2009;36(11):616-7. [Medline].
Müller CS, Schmaltz R, Vogt T, Pföhler C. Lichen striatus and blaschkitis: reappraisal of the concept of blaschkolinear dermatoses. Br J Dermatol. Feb 2011;164(2):257-62. [Medline].

