Lichenoid eruptions in children

J Am Acad Dermatol. 2004 Oct;51(4):606-24. doi: 10.1016/j.jaad.2003.12.012.


Lichenoid eruptions are quite common in children and can result from many different origins. In most instances the precise mechanism of disease is not known, although it is usually believed to be immunologic in nature. Certain disorders are common in children, whereas others more often affect the adult population. Lichen striatus, lichen nitidus, Gianotti-Crosti syndrome, and lichen spinulosus are examples of lichenoid lesions that are more common in children than adults. Distinguishing these diseases is necessary for prediction of the course of the eruption and for optimal management. In most cases, certain clinical characteristics enable the clinician to reach a diagnosis, whereas in other cases biopsy is required for a definitive answer. Many of these lesions are self-limited and only require symptomatic treatment, although corticosteroids can hasten resolution in certain disorders. Discontinuation of the medication is often sufficient for resolution of lichenoid drug eruptions.

Publication types

  • Review

MeSH terms

  • Acrodermatitis / diagnosis
  • Administration, Topical
  • Adrenal Cortex Hormones / administration & dosage
  • Adult
  • Child
  • Diagnosis, Differential
  • Humans
  • Lichen Nitidus / diagnosis
  • Lichen Sclerosus et Atrophicus / diagnosis
  • Lichenoid Eruptions / chemically induced
  • Lichenoid Eruptions / classification
  • Lichenoid Eruptions / diagnosis*
  • Lichenoid Eruptions / drug therapy*
  • Lichenoid Eruptions / genetics
  • Lichenoid Eruptions / pathology
  • Nail Diseases / pathology
  • Pityriasis Lichenoides / diagnosis
  • Purpura / diagnosis
  • Sarcoidosis / diagnosis


  • Adrenal Cortex Hormones