This patient is one of our pediatric patients. She came to our office with a rash that her mother described as raised discolored bumps on her left thigh. The “bumps” did not hurt or itch. She does not have the rash anywhere else on her body. What does this little girl have?
Lichen Striatus is a benign skin condition that mainly affects young children. It presents as a sudden eruption of small bumps on either the arms or legs. Generally only one extremity is affected. The lesions are generally linear and follow a straight line along what is called “Lines of Blaschko” The bumps can be smooth, scaly or flat topped.
The exact cause of Lichen striatus is unknown. Although, some believe that it could be due to genetics.
Lichen striatus is not contagious and will usually resolve on its own without treatment, within 3-12 months. In the meantime, steroid creams can be used to resolve itching if present. This patient and her mother were both given reassurance and were told to follow up in 6 months.