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Lichenoid and other clinical presentations of atopic dermatitis in an inner city practice.

Allen HB, Jones NP, Bowen SE

Department of Dermatology, Drexel University College of Medicine, Philadelphia, Pennsylvania 19107, USA.

Atopic dermatitis (AD) has many different clinical presentations. In our inner city practice, we have observed a variant of AD in our heavily pigmented patients that we have termed lichen planus-like atopic dermatitis because of its clinical similarity to lichen planus. Clinically, this variant may be distinguished by the presence on extensor surfaces and a more rapid response to treatment. Histologically, in lichen planus-like AD, a spongiotic dermatitis is present; further, there is no lichenoid dermatitis evident. We compare this presentation with the others seen over an eight-month interval in our practice. We report on a lichen planus-like variant of atopic dermatitis in our African American patients. A limitation to this report is the relatively small sample size. Facial/extensor is the most common presentation of atopic dermatitis in our predominantly minority clinic.

Published 18 February 2008 in J Am Acad Dermatol, 58(3): 503-4.
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