Case Report

Two Clinical Presentations of One Basic Pattern: Lichenoid and Granulomatous Reaction


  • Pinar Incel Uysal
  • Neslihan Akdogan
  • Onder Bozdogan
  • Ayse Ciftci
  • Basak Yalcin

J Turk Acad Dermatol 2018;12(3):0-0


Lichenoid and granulomatous reaction pattern is a rare histopathological pattern which may present with variable clinical pictures. Although numerous triggering factors have been implicated, this pattern commonly occurs as a result of reactive process of a drug reaction. There are also reports in the literature on the association of lichenoid granulomatous dermatitis with infectious diseases, endocrinopathies, rheumatoid arthritis or inflammatory bowel diseases. We report two additional cases of lichenoid granulomatous dermatitits including granulomatous lichen and granulomatous pigmented purpura in association with hyperlipidemia.

Keywords: Granulomatous infiltration, lichenoid disorders, pigmented purpuric dermatosis