Work

Rare Presentation of Pityriasis Lichenoides et Varioliformis Acuta: A Case of Mucosal and Face Involvement in a 15‐Year‐Old Male

Year: 2025

Type: article

Abstract: Pityriasis lichenoides et varioliformis acuta (PLEVA) is a rare inflammatory skin disorder, and mucosal involvement is exceptionally uncommon. We present a 15-year-old male who developed PLEVA with facial and mucosal involvement, preceded by fever. Dermoscopy revealed dotted and linear vessels with micaceous scales. Histopathology showed focal parakeratosis, epidermal exocytosis of neutrophils and lymphocytes, and dense inflammatory infiltrates extending into the subcutaneous tissue. The patient responded well to doxycycline, achieving complete resolution, though varioliform scarring and hyperpigmentation remained. This case underscores the rarity of mucosal involvement in PLEVA and highlights the importance of early recognition and treatment to minimize long-term cutaneous damage.

Source: Clinical Case Reports

DOI: 10.1002/ccr3.71010

Authors: Sandesh Shah, Joshana Shrestha, Smriti Piya

Institution: Nepal Medical College Teaching Hospital

Language: English

Topic: Medicine and Dermatology Studies History

Subfield: Dermatology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,820