Lichenoid Papular Eruption in a Child

Abstract

REPORT OF A CASE A 32-month-old boy was seen with a 6-week history of pruritic red plaques on the cheeks and on the back of the neck and a history of pruritic papular lesions on his hands, elbows, and knees. During the prior summer, he had a similar skin eruption that disappeared only when autumn began, although he received a topical mild steroid and an emollient cream. There was atopy in his family's history. Physical examination showed a marked erythema on both cheeks with a fine desquamation and mild skin infiltration. A lichenoid dry plaque was present on the back of the neck ( Figure 1 ). Dry, whitish flat papules were seen on the elbows, knees, and the dorsa of the hands ( Figure 2 and Figure 3 ). Findings from his physical examination were normal. Complete blood cell count, erythrocyte sedimentation rate, glutamic-pyruvic transaminase, aspartate aminotransferase, IgE, and hepatitis B antigen tests