Definition

  • Is a small, inflamed macule or thin pigmented plaque, usually solitary, with a lichenoid tissue reaction on histology.

Cause

  • Lichenoid keratosis is an inflammatory reaction arising in a regressing existing Solar lentigoor seborrhoeic keratosis.
  • It is not known what causes the reaction, but triggers can include minor trauma such as friction, drugs, dermatitis, and sun exposure.

Risk

  • Fair skin
  • Age 30-80
  • F>M

Management

  • Lichenoid keratosis can be removed if desired by liquid nitrogen, electrosurgery or curettage.
  • Multiple eruptive lichenoid keratoses may be effectively treated with the oral retinoid, acitretin.