Generalized spinous follicular lichen nitidus with perifollicular granulomas.

The first report of spinous follicular lichen nitidus with perifollicular granulomas was by Madhok and Winkelmann in 1988. Since this report, a few cases of follicular or periappendageal lichen nitidus have been described, in a more localized form or without perifollicular granulomas. We describe a 5-year-old girl with the rare generalized spinous follicular variant of lichen nitidus with perifollicular granulomas.

Assessing adherence to dermatology treatments: a review of self-report and electronic measures.

Background: Nonadherence to prescribed medications is a common problem in dermatology, and assessing adherence can be difficult. Electronic monitors are not always practical, but self-report measures may be less reliable.

Purpose: To review the literature for self-report instruments and electronic monitors used to measure medication adherence in patients with chronic disease.