Lichen Striatus, My Daughter’s Story

Lichen striatus is a benign and self limited rash that occurs in children anywhere from 5 to 15 years in 50 % of cases. However, my daughter was 2 years old when she suddenly had this rash appear on the back of her right leg. Females tend to be more affected by this than males. There is no known cause for this rash except possibly some environmental and genetic factors.  Below are more details about this rash as per :

What does lichen striatus look like? Lichen striatus starts as small pink, red or flesh colored spots that over the course of one or two weeks join together to form a dull red slightly scaly linear band. The band is usually 2 mm to 2 cm in width and may be a few centimeters in length or may extend the entire length of the limb. Sometimes there are two parallel bands. Lesions occur most commonly on one arm or leg but can affect the neck or trunk. Sometimes a band may extend from the leg onto the buttock or abdomen. Usually there are no symptoms but some patients may complain of slight or intense itching. Occasionally nails may be affected, sometimes without any skin lesions. They become thick, ridged, split and may rarely fall off altogether.

How is lichen striatus diagnosed? Lichen striatus is diagnosed by its typical clinical appearance. Findings on histopathology of a skin biopsy may also be helpful.

What treatments are available for lichen striatus? There is no effective treatment for lichen striatus and in most cases none is necessary. It usually resolves within 6 months but may leave temporary pale or dark marks (hypopigmentation or hyperpigmentation).What does lichen striatus look like? Emollients may be used to help treat dryness or itching, if present. Topical steroids or pimecrolimus cream may clear the lesions although they may take some weeks to be effective.

My daughter’s rash started as a group of palpable pink spots on the back of her thigh. From that patchy rash extended a linear strand that led to a similarly patchy red rash all over her posterior calf. The bigger patches were slightly itchy at times. Her rash lasted about a month and did not leave any hypopigmented areas. Below are 2 pictures of my daughter’s rash on the back of her right leg.

rash rash2

If you have questions or if your child has a rash, please call your pediatrician’s office.

My Child is Older, Does He/She Really Need a Checkup?

When your child is preschool age it often seems routine to get a checkup.  After the kindergarten checkup many people wonder what the purpose of a checkup really is. KPA and the American Academy of Pediatrics strongly recommend physicals every year through adolescence and into young adult years.

There are no more dynamic times in one’s entire life than the pediatric years when growth, developmental progress, school performance issues, social interactions, athletic readiness, allergies, weight to height relationships, curvature of the spine, digestive issues, nutrition concerns, acne, bullying, abuse, family discords, puberty questions, height predictions to name a few issues, are requiring attention regularly.  Your pediatrician is especially skilled, like no other medical provider, to address these and myriads of other problems that are part of the physical, social, and emotional makeup of the ever changing child.

Things such as need for immunizations at 7th grade are necessary and important but only a small part of the pediatrician’s focus. Camp and sports physicals are items that can be addressed without last minute rushes when you get a regular yearly exam.  New and updated immunizations are frequently available to protect against diseases you don’t want your child to get. Getting these done at work or walk-in clinics removes the continuity of regularly addressing growth and overall health as they relate to the past medical, family, and social history that might be uniquely known to your child’s pediatrician.

All of your KPA pediatricians are board certified and maintain currency as required by the board.  This mean retesting on a regular basis as well as yearly requirements for continuing education.  Your KPA doctors additionally maintain competency in pediatric emergency management.

Your child’s health is important to us and to you. Watching them grow with the confidence that a regular complete exam is helpful for us and ultimately for you and your child.  If it has been over a year since your last checkup take the time to call for an appointment.  Waits are not typically long.


It’s Football Time in Tennessee!

…And unfortunately that means some football players will get concussions.  A concussion is a brain injury.  It can range from mild to severe.  In recent years, the frequency with which concussions occur, and their possible long term effects, have been better studied and much more widely publicized.

Attached is a link to the TSSAA website outlining Tennessee’s concussion education and care policy. It is several pages long, but contains lots of very good information on recognizing concussion symptoms, instructions on what to do once a concussion is suspected,  and return to play information and clearance forms.

Many times, athletes and parents are in concerned about getting the athlete back into competition as soon as possible, but it’s important to be sure a young person is completely recovered before resuming competition!

For more information…