{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:31:14Z","timestamp":1787841074229,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T00:00:00Z","timestamp":1733875200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Acquired inflammatory Blaschko-linear dermatoses have not been studied extensively. Descriptive studies on segmental vitiligo have yielded insights helpful in counseling patients. Similar insights are expected from studies on other acquired inflammatory Blaschko-linear diseases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Consecutive patients with an acquired inflammatory Blaschko-linear disease presenting to the dermatology outpatient department of the study center were recruited in a case series. Detailed history and examination, clinical photographs, and histopathological findings were recorded and analyzed. Features were compared between linear and generalized forms to look for any differences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Out of 99 patients, linear lichen planus (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 47), linear morphea (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 31), and lichen striatus (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 9) were observed most commonly. Skin lesions were present in multiple lines in 52 (52.5%). In 12 (12.1%), more than one anatomical site was involved. In 10 (10.1%), two different Blaschko-linear diseases were seen, and in 3 (3.1%) both diseases occurred in the same\/adjacent segments. The disease extended from one or both ends in 64 (88.9%). Nineteen (19.2%) had both linear and generalized disease, with linear lesions being more severe than the generalized lesions (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.038133). Some (18\/47, 38.3%) linear lichen planus cases showed prominent atrophy since the onset and formed a distinct subset, predominantly over the head and neck site (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.00001). Histopathology of linear lichen planus differed from controls with generalized lesions in terms of having deeper infiltrate (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.000124), and multi-focal, rather than confluent, lichenoid infiltrates. Atrophy was noted from the onset in 13\/31 (41.9%) cases of linear morphea.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Limitations:<\/jats:title>\n                    <jats:p>Limitations include cross-sectional design and lack of controls with generalized nonlinear diseases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Acquired inflammatory Blaschko-linear disorders show distinct characteristics like involvement of multiple lines and sites, directional progression, and atrophic variants. These can be used for differentiating among different Blaschko-linear diseases, monitoring progression, and counseling patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/idoj.idoj_312_24","type":"journal-article","created":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T04:00:10Z","timestamp":1733976010000},"page":"116-122","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Clinical and Histopathological Characteristics of Acquired Inflammatory Blaschko-Linear Disorders"],"prefix":"10.4103","volume":"16","author":[{"given":"Nikhil","family":"Mehta","sequence":"first","affiliation":[{"name":"Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Binod K.","family":"Khaitan","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Ramam","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neetu","family":"Bhari","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gomathy","family":"Sethuraman","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoj K.","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Pathology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,12,11]]},"reference":[{"key":"R1-20241226","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1016\/j.jaad.2007.06.039","article-title":"Superimposed segmental manifestation of polygenic skin disorders","volume":"57","author":"Happle","year":"2007","journal-title":"J Am Acad Dermatol"},{"key":"R2-20241226","doi-asserted-by":"crossref","first-page":"715","DOI":"10.4103\/0378-6323.102362","article-title":"A descriptive study to characterize segmental vitiligo","volume":"78","author":"Khaitan","year":"2012","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"R3-20241226","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1002\/ajmg.a.37439","article-title":"The categories of cutaneous mosaicism: A proposed classification","volume":"170A","author":"Happle","year":"2016","journal-title":"Am J Med Genet A"},{"key":"R4-20241226","doi-asserted-by":"crossref","first-page":"1923","DOI":"10.1038\/jid.2013.74","article-title":"Phacomatosis pigmentokeratotica is a \u201cpseudodidymosis\u201d","volume":"133","author":"Happle","year":"2013","journal-title":"J Invest Dermatol"},{"key":"R5-20241226","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/S0190-9622(94)70143-1","article-title":"Lines of Blaschko","volume":"31","author":"Bolognia","year":"1994","journal-title":"J Am Acad Dermatol"},{"key":"R6-20241226","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1016\/j.jaad.2017.09.069","article-title":"Alternating histopathologic pattern in blaschkoid dermatoses with epidermal changes: A retrospective series of 61 cases","volume":"78","author":"Gupta","year":"2018","journal-title":"J Am Acad Dermatol"},{"key":"R7-20241226","doi-asserted-by":"crossref","first-page":"3496","DOI":"10.1002\/art.38853","article-title":"Comparison of outcomes in adults with pediatric-onset morphea and those with adult-onset morphea: A cross-sectional study from the morphea in adults and children cohort","volume":"66","author":"Condie","year":"2014","journal-title":"Arthritis Rheumatol"},{"key":"R8-20241226","doi-asserted-by":"crossref","first-page":"1664","DOI":"10.1016\/j.jaad.2019.01.050","article-title":"Linear morphea: Clinical characteristics, disease course, and treatment of the Morphea in Adults and Children cohort","volume":"80","author":"Kunzler","year":"2019","journal-title":"J Am Acad Dermatol"},{"key":"R9-20241226","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1111\/j.1365-2133.2008.08647.x","article-title":"Linear morphoea follows Blaschko's lines","volume":"159","author":"Weibel","year":"2008","journal-title":"Br J Dermatol"},{"key":"R10-20241226","first-page":"729","article-title":"[Acquired atrophic pigmented band-like lesions following Blaschko's lines","volume":"119","author":"Moulin","year":"1992","journal-title":"Ann Dermatol Venereol"},{"key":"R11-20241226","doi-asserted-by":"crossref","first-page":"7","DOI":"10.5826\/dpc.0301a03","article-title":"Linear atrophoderma of Moulin: A case report and review of the literature","volume":"3","author":"Patsatsi","year":"2013","journal-title":"Dermatol Pract Concept"},{"key":"R12-20241226","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1016\/0190-9622(91)70245-W","article-title":"Lichen striatus: A Blaschko linear acquired inflammatory skin eruption","volume":"25","author":"Taieb","year":"1991","journal-title":"J Am Acad Dermatol"},{"key":"R13-20241226","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1111\/j.1525-1470.1996.tb01412.x","article-title":"Lichen striatus","volume":"13","author":"Kennedy","year":"1996","journal-title":"Pediatr Dermatol"},{"key":"R14-20241226","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1111\/j.0736-8046.2004.21302.x","article-title":"Lichen striatus: Clinical and laboratory features of 115 children","volume":"21","author":"Patrizi","year":"2004","journal-title":"Pediatr Dermatol"},{"key":"R15-20241226","first-page":"536","article-title":"Lichen striatus: Clinical features and follow-up in 12 patients","volume":"10","author":"Hauber","year":"2000","journal-title":"Eur J Dermatol"}],"container-title":["Indian Dermatology Online Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/idoj.idoj_312_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:41:36Z","timestamp":1787838096000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/idoj.idoj_312_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,11]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/idoj.idoj_312_24","relation":{},"ISSN":["2229-5178","2249-5673"],"issn-type":[{"value":"2229-5178","type":"print"},{"value":"2249-5673","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,11]]},"assertion":[{"value":"2024-04-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-27","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}