Pityriasis Lichenoides Et Varioliformis Acuta presenting in a 50 year old female: A Case Report

Authors: Claudine Joy M. Ramos MD, Jasmin Jamora, MD, FPDS

Abstract

Introduction: Pityriasis lichenoides et varioliformis acuta is characterized by spontaneously resolving, temporally overlapping crops of papules last for weeks and may develop crusts, vesicles, pustules, or ulcers. Together with Pityriasis Lichenoides Chronica, it represents two ends of a disease spectrum with both entities and intermediate forms can coexist.

Case Presentation: This is a case of ER, a 50-year old female, who presents with a five year history of chronic recurrent generalized red itchy bumps. Patient sought several consults to traditional healers and physicians and was given different herbal medications and prednisone with no noted relief. Persistence prompted consult to our institution. Physical examination revealed generalized involvement with lesions consisting of multiple, well defined erythematous papules and plaques some with hemorrhagic crusts and exhortations. Skin punch biopsy and immunohistochemistry was done which revealed Superficial and deep perivascular dermatitis with interface change. Patient was given Methylprednisolone 10mg/tab, 1 ½ tab OD for 1 week and Levocetirizine 5mg/tab, 1 tab OD.

Conclusion: Pityriasis lichenoides et varioliformis acuta is a chronic recurrent disease that requires frequent follow ups and chronic management.

 

Citation

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Keywords

Pityriasis lichenoides et varioliformis acute, PLEVA

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