Lichen aureus with pseudolymphomatous infiltrate

J Cutan Pathol. 2021 May;48(5):669-673. doi: 10.1111/cup.13948. Epub 2021 Jan 18.

Abstract

Lichen aureus is a variant of pigmented purpuric dermatoses. The usual histopathology of lichen aureus is characterized by a subepidermal dense, band-like lymphocytic infiltrate, extravasated erythrocytes, and hemosiderin deposits. We report three patients with lichen aureus on the extremities with similar clinical, dermoscopic, and histopathological findings characterized by a dense band-like relatively deep dermal infiltrate accompanied by extravasation of erythrocytes and hemosiderin deposits occasioning a resemblance to a lymphoproliferative disorder.

Keywords: lichen aureus; mycosis fungoides; pigmented purpuric dermatosis; pseudolymphoma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Dermoscopy / methods
  • Diagnosis, Differential
  • Erythrocytes / pathology
  • Female
  • Hemosiderin / analysis
  • Humans
  • Immunohistochemistry / methods
  • Lymphocytes / pathology
  • Lymphoproliferative Disorders / metabolism
  • Lymphoproliferative Disorders / pathology
  • Male
  • Middle Aged
  • Pigmentation Disorders / pathology*
  • Plasma Cells / pathology
  • Pseudolymphoma / complications*
  • Pseudolymphoma / pathology
  • Purpura / diagnosis*
  • Purpura / pathology
  • Skin Diseases / pathology*

Substances

  • Hemosiderin

Supplementary concepts

  • Pigmented purpuric eruption