title: Lichenoid and other clinical presentations of atopic dermatitis in an inner city practice.
abstract: 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.
authors.affiliation: Department of Dermatology, Drexel University College of Medicine, Philadelphia, Pennsylvania 19107, USA.
authors.forename: Herbert B
authors.initials: HB
authors.lastname: Allen
authors.forename: Nathan P
authors.initials: NP
authors.lastname: Jones
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Bowen
mesh_terms: D001741:Black or African American; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001132:Arm; D002675:Child, Preschool; D003876:Dermatitis, Atopic / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D005446:Fluocinolone Acetonide / Q000008:administration & dosage / Q000031:analogs & derivatives / Q000627:therapeutic use; D006801:Humans; D017495:Hyperpigmentation / Q000209:etiology; D007866:Leg; D017512:Lichenoid Eruptions / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009824:Ointments; D011204:Poverty Areas; D012880:Skin Pigmentation; D014221:Triamcinolone / Q000008:administration & dosage / Q000627:therapeutic use
chemical_list: D000893:Anti-Inflammatory Agents; D009824:Ointments; D005446:Fluocinolone Acetonide; D014221:Triamcinolone; C035394:fluocinolone