Annular lichenoid dermatitis of youth (ALDY) - a further case in a 12-year old girl

Annular lichenoid dermatitis of youth (ALDY) was first described by Annessi et al. in 2003. Clinical criteria are persistent erythematous macules and annular lesions with a red-brown edge and a central hypopigmentation usually found on the flanks and groins of children and adolescents. Histologically, the disease is characterized by a lichenoid interface dermatitis with necrotic keratinocytes at the tip of the rete ridges. In our case a 12-year old girl developed annular red-brown macules with papules at the borders in an inframammary location. The histology of the lesion's border showed a lichenoid lymphocytic infiltrate with apoptotic keratinocytes at the tip of rete ridges. The lesions cleared with 0.03 % tacrolimus ointment. The annular lichenoid dermatitis of youth is probably a new entity of the group of lichenoid dermatoses.