At a glance - Lichen striatus

AETIOLOGY
- Cause unknown but it is currently thought that a combination of
genetic and environmental factors play a part.
- Might occur at any time of life but most commonly between five and 15
years of age.
- Rare.

SYMPTOMS
- Small smooth or scaly or flat topped, pink papules initially.
- After a week or two these papules join to form a dull red, scaly
linear streak, 1-2 cm wide.
- Most common on the limbs but sometimes present on the trunk.
- Streak may extend the full length of the limb.
- Usually symptomless but occasionally it will cause itching.
- A nail may be affected, rarely, with longitudinal ridging, thickening
and splitting.

DIAGNOSIS
- Determined by the appearance of the lesion.

MANAGEMENT
- Spontaneous resolution occurs after about six months.
- Normally, no treatment required.
- Itchy or dry skin may be helped by emollients and a topical steroid.
- Resolution might be followed by post-inflammatory hypo- or
hyperpigmentation that can take month or years to clear.

- Contributed by Dr Jean Watkins, a GP in Ringwood, Hampshire.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

Former GP Dr Sarah Wollaston among latest MPs to join breakaway group

Former GP Dr Sarah Wollaston among latest MPs to join breakaway group

Health and social care committee chair and former GP Dr Sarah Wollaston has left...

Global sum to increase by just 92p in 2019/20

Global sum to increase by just 92p in 2019/20

Practices will receive just 92p more per weighted patient as their global sum in...

NHS must overhaul complaints system to better support staff, says HEE

NHS must overhaul complaints system to better support staff, says HEE

The NHS needs to undertake a 'root and branch' examination of how it handles complaints...

GP premises need 'urgent investment' says BMA as half are not fit for purpose

GP premises need 'urgent investment' says BMA as half are not fit for purpose

The BMA has called on the government to 'urgently invest' in general practice premises...

CQC to assess triage apps on GP inspections

CQC to assess triage apps on GP inspections

The CQC has said that it will assess the use of triage apps and systems in GP practices...

CQC urges patients to complain about GP services in bid to improve care

CQC urges patients to complain about GP services in bid to improve care

The CQC is encouraging members of the public to speak up about negative experiences...