%0 Case Reports
%T A case of eruptive lichen spinulosus after toxic epidermal necrolysis.
%A Phong CH
%A Birmingham SW
%A Lee BA
%A Rojek NW
%J Pediatr Dermatol
%V 40
%N 2
%D Mar 2023
%M 36456468
%F 1.997
%R 10.1111/pde.15216
%X We report a case of a 13-year-old boy who presented with eruptive monomorphic white papules on the trunk and arms involving regions previously affected by toxic epidermal necrolysis (TEN). Biopsy revealed compact keratin involving the hair follicle and sparse mixed perivascular infiltrate, findings consistent with lichen spinulosus. Improvement was noted after treatment with ammonium lactate 12% lotion. While cutaneous dyschromia and xerosis are common after TEN, lichen spinulosus has not yet been described in the literature. It is important for providers to be aware of any potential cutaneous sequelae of TEN that can affect quality of life in order to best counsel their patients.