Keratosis lichenoides chronica and eruptive keratoacanthoma-like lesions in a patient with multiple myeloma

A. V. Marzano, M. Bellinvia, R. Caputo, E. Alessi

Research output: Contribution to journalArticlepeer-review

Abstract

We describe a 72-year-old woman with a 13-year history of a lichenoid dermatitis, who developed multiple, papular keratoacanthoma (KA)-like lesions and few crater-like nodules on the extremities over a period of 6 months before our observation. Her medical history also recorded multiple myeloma diagnosed a few years before. The long-standing dermatosis was diagnosed, clinically, as keratosis lichenoides chronica (KLC), although, histologically, a lichenoid tissue reaction pattern was not evident. On the other hand, histology from papular and nodular lesions of recent onset was consistent with a possible early phase of KA and spinocellular carcinoma, respectively. Oral acitretin induced regression of KA-like lesions and improvement of KLC but had no effects on crater-like nodules, which required surgical excision, KLC is a chronic disorder of keratinization characterized by lichenoid hyperkeratotic papules arranged in a linear pattern, erythematosquamous plaques and seborrhoea-like dermatitis. We emphasize in our case the association between KLC and multiple possible KAs, never previously reported, and speculate that these two rare conditions may represent here a 'continuum' from a pathogenetic point of view.

Original languageEnglish
Pages (from-to)129-133
Number of pages5
JournalJournal of the European Academy of Dermatology and Venereology
Volume19
Issue number1
DOIs
Publication statusPublished - Jan 2005

Keywords

  • Keratoacanthoma
  • Keratosis lichenoides chronica
  • Lichen planus
  • Multiple myeloma
  • Witten and Zak type keratoacanthomas

ASJC Scopus subject areas

  • Dermatology
  • Infectious Diseases

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