Therapeutic Strategies in Dermatology

Allergic Contact Dermatitis: Initial Evaluation

…thema with vesicles, bullae, and crusting; less erythema, and lichenification or fissuring may be noted in chronic cases. Patients almost always report associated pruritus. The area of inflammation may extend slightly beyond the area of contact with…

Therapeutic Strategies in Dermatology

Atopic Dermatitis: Initial Evaluation

…ng the popliteal fossa, a commonly-affected site. Lichenification resulting in loss of the lateral aspect of the eyebrows, also known as Hertoghe’s sign. Hypopigmented patches with subtle scale in atopic dermatitis, also known as pityr…

Histologic Diagnosis of Inflammatory Skin Diseases

Applicable Terms

…eukocytoclasis of neutrophils in leukocytoclastic vasculitis. LICHENIFICATION [L. lichenificare (to make like lichen, i.e., a skin eruption), Gk. leicho (to lick)]: Thickening of the skin secondary to rubbing forcefully for many months or years (Fig….

Resolving Quandaries in Dermatology, Pathology & Dermatopathology

Atopic Dermatitis?

…ns employed [for atopic dermatitis] are: ‘pruritus with lichenification,’ ‘allergic eczema,’ ‘atopic eczema,’ ‘hay fever eczema,’ ‘flexural eczema,’ unfortunately frequently just ‘ecze…

Resolving Quandaries in Dermatology, Pathology & Dermatopathology

Eczema?

…terized by thickened skin and increased skin markings, called lichenification, secondary to rubbing and scratching….” Clark RA, Nicol N, Adinoff AD Atopic dermatitis. In: Sams WM Jr, Lynch PJ, eds. Principles and Practice of Dermatology….

Histologic Diagnosis of Inflammatory Skin Diseases

Lichen simplex chronicus/Prurigo nodularis/Picker’s nodule/Erosions/Ulcers

…tis, neurodermatitis circumscripta, lichen simplex, secondary lichenification) Prurigo nodularis (nodular lichenification) Erosions and ulcers (neurotic excoriations) Presentation stereotypical Age and sex Any age and both sexes Distribution of lesi…

Resolving Quandaries in Dermatology, Pathology & Dermatopathology

Primary and Secondary Lesions?

…re said to be scales, crusts, erosions, ulcers, excoriations, lichenification, and fissures. Regrettably, the concept of primary and secondary lesions is flawed beyond redemption. All so-called primary lesions of the skin can be induced secondarily c…

Dermatology Practical & Conceptual

Notalgia paresthetica: the unreachable itch

…ing pain, paresthesia, numbness, or hyperesthesia. A patch of lichenification or post-inflammatory hyperpigmentation is the result of chronic scratching [1-3]. It may be more prevalent in middle-age women and often lasts for years [4]. The cause of N…