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January 9, 2018Pediatric Dermatology

Pityriasis lichenoides: Long‐term follow‐up study

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Authors

JZJulie B. ZangRockefeller UniversitySCSarah J. CoatesSan Francisco General HospitalJHJing HuangBinghamton University

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Overview

Retrospective cohort study reveals prolonged disease duration and limited treatment efficacy in pediatric pityriasis lichenoides, highlighting chronicity and persistent pigmentary changes.

Key Points

  • To evaluate the clinical characteristics, natural disease course, and treatment responses of individuals diagnosed with pityriasis lichenoides.
  • Reviewed 75 patients diagnosed with pityriasis lichenoides between 1997 and 2013 at a tertiary referral center.
  • Conducted long-term telephone follow-up interviews with 46 patients.
  • Disease duration was significantly shorter in pityriasis lichenoides et varioliformis acuta (35 ± 35 months) than in pityriasis lichenoides chronica (≥78 ± 48 months), with active disease at long-term follow-up persisting in 19% (3/16) versus 82% (23/28), respectively.
  • No patients progressed to lymphomatoid papulosis or cutaneous T-cell lymphoma, though 10 of 23 active chronica cases had residual pigmentary alterations lasting at least 35 ± 20 months.
  • The most effective interventions were phototherapy (47% response rate), heliotherapy (33%), topical corticosteroids (27%), and oral antibiotics (25%).

Cite This Study

Zang et al. (2018) studied this question.

synapsesocial.com/papers/6aa11f2fc0e1046e90f7ab8dhttps://doi.org/10.1111/pde.13396
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1CLINICAL AND LABORATORY INVESTIGATIONS: Pityriasis Lichenoides in Children: Clinicopathologic Review of 22 Patients1998 · 99 citations
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  4. 4Comparison of the therapeutic effects of narrow band UVB vs. PUVA in patients with pityriasis lichenoides2010 · 29 citations
  5. 5Severe Febrile Mucha‐Habermann's Disease in Children: Case Report and Review of the Literature1991 · 47 citations