eMedicine Specialties > Dermatology > Reactive & Inflammatory Dermatoses
Lichen Spinulosus: Follow-up
Updated: Oct 30, 2009
Follow-up
Complications
Lichen spinulosus is confined to the skin and has no known associations with internal disorders or genetic syndromes.
Prognosis
Lichen spinulosus can be ameliorated using emollient keratolytics. Case reports suggest that cure is the result of spontaneous remission over time. Most cases appear to remit within 1-2 years; however, well-documented cases exist that have lasted for decades.
Miscellaneous
Medicolegal Pitfalls
Failure to diagnose lichen spinulosus correctly may result in years of ineffective treatment.9,10
The authors and editors of eMedicine gratefully acknowledge the contributions of previous Chief Editor, William D. James, MD, to the development and writing of this article.
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| Treatment & Medication: Lichen Spinulosus |
Follow-up: Lichen Spinulosus |
| Multimedia: Lichen Spinulosus |
| References |
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References
Friedman SJ. Lichen spinulosus. Clinicopathologic review of thirty-five cases. J Am Acad Dermatol. Feb 1990;22(2 Pt 1):261-4. [Medline].
Cohen SJ, Dicken CH. Generalized lichen spinulosus in an HIV-positive man. J Am Acad Dermatol. Jul 1991;25(1 Pt 1):116-8. [Medline].
Kano Y, Orihara M, Yagita A, Shiohara T. Lichen spinulosus in a patient with Crohn's disease. Int J Dermatol. Sep 1995;34(9):670-1. [Medline].
Kabashima R, Sugita K, Kabashima K, Nakamura M, Tokura Y. Lichen spinulosus in an alcoholic patient. Acta Derm Venereol. 2009;89(3):311-2. [Medline].
Tilly JJ, Drolet BA, Esterly NB. Lichenoid eruptions in children. J Am Acad Dermatol. Oct 2004;51(4):606-24. [Medline].
Cömert A, Akin O, Demirkesen C. Follicular mucinosis mimicking lichen spinulosus in an 11-year-old boy. Eur J Dermatol. Nov-Dec 2007;17(6):544-5. [Medline].
Maiocco KJ, Miller OF. Lichen spinulosus: response to therapy. Cutis. Feb 1976;17(2):294-99. [Medline].
Forman SB, Hudgins EM, Blaylock WK. Lichen spinulosus: excellent response to tretinoin gel and hydroactive adhesive applications. Arch Dermatol. Jan 2007;143(1):122-3. [Medline].
Boyd AS. Lichen spinulosus: case report and overview. Cutis. Jun 1989;43(6):557-60. [Medline].
Tilly JJ, Drolet BA, Esterly NB. Lichenoid eruptions in children. J Am Acad Dermatol. Oct 2004;51(4):606-24. [Medline].
Further Reading
Keywords
lichen spinulosus, keratosis follicularis spinulosa, lichen pilaris seu spinulosus of Crocker, keratosis follicularis spinosa of Unna
Follow-up: Lichen Spinulosus