5 Iconography
Access to the text (HTML) Access to the text (HTML)
PDF Access to the PDF text
Service d'aide à la décision clinique

Access to the full text of this article requires a subscription.
  • If you are a subscriber, please sign in 'My Account' at the top right of the screen.

  • If you want to subscribe to this journal, see our rates

  • You can purchase this item in Pay Per ViewPay per View - FAQ : 30,00 € Taxes included to order
    Pages Iconography Videos Other
    4 5 0 0

Annales de Dermatologie et de Vénéréologie
Volume 135, n° 3
pages 201-204 (mars 2008)
Doi : 10.1016/j.annder.2007.11.020
Received : 20 February 2007 ;  accepted : 9 November 2007
Lichen scléreux acral
Acral lichen sclerosus et atrophicus

M. Steff a, A. Toulemonde a, A. Croue b, E. Lemerle a, Y. Le Corre a, J.-L. Verret a,
a Service de dermatologie, CHU d’Angers, université d’Angers, 4, rue Larrey, 49933 Angers cedex 9, France 
b Laboratoire d’anatomie pathologique, CHU d’Angers, université d’Angers, 4, rue Larrey, 49933 Angers cedex 9, France 

Auteur correspondant.

Le lichen scléreux touche rarement les mains et les pieds, s’inscrivant alors le plus souvent dans le cadre d’une atteinte cutanée diffuse. Nous rapportons un cas de lichen scléreux localisé aux mains et aux pieds, sans autre atteinte que vulvaire et périgénitale.


Une femme de 56 ans avait des lésions des mains et des pieds, faites de papules blanc nacré sur la face dorsale des pieds et des phalanges distales des mains, de petites papules déprimées kératosiques au creux des paumes, d’un érythème des plantes et des éminences thénar et hypothénar. On observait par ailleurs un lichen scléreux vulvaire et des plis génitocruraux. L’examen histologique des différentes lésions cutanées était identique, montrant un aspect typique de lichen scléreux.


Quelques cas de lichen scléreux cutanés limités aux pieds et/ou aux mains ont été rapportés, touchant alors, soit la face palmoplantaire, soit les replis sus-unguéaux des doigts. Aucun ne comportait d’atteinte génitale. À notre connaissance, aucun cas de lichen scléreux touchant uniquement les pieds et les mains sur leurs deux faces, ainsi que la sphère génitale, comme dans notre observation, n’a été rapporté.

The full text of this article is available in PDF format.

Lichen sclerosus et atrophicus rarely affects the feet or hands and in this case, it is generally part of widespread cutaneous involvement. We report a case of lichen sclerosus et atrophicus involving only the extremities and the vulvar and perigenital area.

Patients and methods

A 56-year-old woman presented with lesions of the hands and feet, with ivory white papules on the dorsal aspect of the feet and the distal phalanx of the fingers, a few small keratotic papules with central depressions in the hollow of the palms, erythema on soles and thenar and hypothenar eminences. Further examination revealed lichen sclerosus et atrophicus of the vulva and genitocrural skinfolds. Histological study of these various cutaneous lesions yielded similar results and revealed the typical features of lichen sclerosus et atrophicus.


A few cases of lichen sclerosus et atrophicus confined to the hands and/or feet have been reported, involving the palms and soles or nail folds, but none has so far affected the genitalia. To our knowledge, no cases of lichen sclerosus et atrophicus involving both faces of the hands and feet and the genital region have ever been reported.

The full text of this article is available in PDF format.

Mot clé : Lichen scléreux

Keyword : Lichen sclerosus et atrophicus

© 2008  Elsevier Masson SAS. All Rights Reserved.
EM-CONSULTE.COM is registrered at the CNIL, déclaration n° 1286925.
As per the Law relating to information storage and personal integrity, you have the right to oppose (art 26 of that law), access (art 34 of that law) and rectify (art 36 of that law) your personal data. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.
Personal information regarding our website's visitors, including their identity, is confidential.
The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties.
Article Outline
You can move this window by clicking on the headline