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Journal of the American Academy of Dermatology
Volume 58, n° 3
pages 503-504 (mars 2008)
Doi : 10.1016/j.jaad.2007.03.033
Case Reports

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

Herbert B. Allen, MD, Nathan P. Jones, MD, Sarah E. Bowen, MD
Department of Dermatology, Drexel University College of Medicine, Philadelphia, Pennsylvania 


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.

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 Funding sources: None.
 Conflicts of interest: None declared.
 Reprints not available from the authors.
 Correspondence to: Department of Dermatology, Drexel University College of Medicine, 219 N Broad St, Fourth Floor, Philadelphia, PA 19107. E-mail:

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