Lichen Aureus Occurring in Childhood

A 8-year-old girl presented with a 3-month history of scattered, bruise-like, pigmented patches on the posterior aspect of the left thigh, without previous trauma or previous drug intake. P.ist meciical history and family history were noncontributory. The lesions were usually asymptomatic, but slight pruritus was noted occasionally. Examination indicated golden-hueci patches varying in size from 0.8-1.5 cm in diameter (Figs. 1, 2). A skin biopsy specimen showed a normal epidermis and a band-like lymphohistiocytic infiltrate in the upper dermis with many extravasated erythrocytes (Fig. 3). Staining with potassium ferrocyanide demonstrated dense deposits of hemosiderin in the area of the infiltrate.