Microscopic features of lichen sclerosus et atrophicus in acrochordons: a clue to the cause of lichen sclerosus et atrophicus?

Abstract:

BACKGROUND:The cause of lichen sclerosus et atrophicus (LSA) is unknown, but on the penis it is associated with chronic occlusion, that is, phimosis. Microscopic changes of LSA were seen unexpectedly in two acrochordons. OBJECTIVE:Our purpose was to further characterize this phenomenon. METHODS:A total of 449 acrochordons examined in our histopathologic laboratory in the past 2 years were studied for changes of LSA, and clinical data were collected. RESULTS:Eight additional cases were found. All of the acrochordons exceeded 0.5 cm, and three were 1 cm or larger. At least six were under chronic occlusion or pressure. The dermal changes of LSA predominated over the epidermal changes. All showed collagenous homogenization, sclerosis, and inflammation. Elastic fibers were characteristically decreased. CONCLUSION:These observations strengthen the evidence that LSA in flaccid skin may be caused by chronic occlusion.

journal_name

J Am Acad Dermatol

authors

Weigand DA

doi

10.1016/0190-9622(93)70105-3

subject

Has Abstract

pub_date

1993-05-01 00:00:00

pages

751-4

issue

5 Pt 1

eissn

0190-9622

issn

1097-6787

pii

0190-9622(93)70105-3

journal_volume

28

pub_type

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