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Acrochordon With Histological Features of Lichen Sclerosus

Arnold, Kathryn A. BS, BA*; Sundharkrishnan, Lohini MD; Bolotin, Diana MD, PhD; Shea, Christopher R. MD

The American Journal of Dermatopathology: June 2019 - Volume 41 - Issue 6 - p e64–e65
doi: 10.1097/DAD.0000000000001356
Extraordinary Case Report

Abstract: Lichen sclerosus (LS) is a chronic inflammatory dermatosis that classically presents as sclerotic, atrophic plaques in the genital region. We present a case of acrochordon with histological features of LS, clinically mimicking intradermal nevus, in a 53-year-old man with no prior history of LS. Our case highlights an unusual morphologic variant of acrochordon and illustrates the role of chronic pressure and occlusion in the development of secondary features of LS.

*Pritzker School of Medicine, University of Chicago, Chicago, IL; and

Section of Dermatology, Department of Medicine, University of Chicago, Chicago, IL.

Correspondence: Christopher R. Shea, MD, Section of Dermatology, Department of Medicine, The University of Chicago Medicine, 5841 S. Maryland Avenue, MC 5067, Chicago, IL 60637-1470 (e-mail:

The authors declare no conflicts of interest.

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