Self teaching module for the influence of culture and pigment on skin
conditions in children
James G. Dinulos, MD and Elinor A. Graham, MD, MPH
Harborview Medical Center, Seattle, WA
Spring 1999
Category 2: Exaggerated Cutaneous Reaction Patterns to Injury and
Inflammation
Photo 9: Lichenification in Atopic Dermatitis
This child with severe atopic dermatitis illustrates the tendency of children with dark
skin to develop very unsightly lichenification where they have a chronic dermatosis and
puritis. This lichenification and hyperpigmentation is very slow to resolve even with
regular treatment with topical steroids.
Go to Photo 10: Lichenification
and Secondary
Infection
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© 1995-2008; University of Washington
Harborview Medical
Center
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