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Segmental Lichen Aureus in a Child

• An 11-year-old girl presented to the dermatologic outpatients department with multiple, yellowish-brown patches on her left leg since 4 years of age. Physical examination showed multiple, round to oval, up to 1-cm sized, yellowish-brown and brownish-black patches, studded with a few small papules. The patches had a linear distribution over the baek of the left leg (Fig. 1). The first lesion was an asymptomatic, pink macule of 6 mm diameter arising spontaneously at the age of 4 years, just above the left lateral nialleolus. Similar lesions continued to appear until age 7 years, turning yellowish-brown, and then brownish-black in color within a period of 2 to 6 months; these have persisted unchanged. There was no similar illness in the family. History of any mechanical or surgical trauma, or drug intake before the appearance of the lesions was absent. Family history of atopy was positive. There was no other dermatologic or internal systemic abnormality. Menarche had not occurred.