Lichen Planus (L.P.)

on 27.2.08 with 0 comments



Description and Symptoms

Chronic eruption that affect the mucous membranes, skin and nails. The buccual mucosa often has a lacy white appearance. The skin has itchy reddish-purple flat topped papules with an overlying fine white lacy scale (Wickham’s striae) most commonly seen on the wrists, genitalia and ankles. The nails may be normal, but may be severely dystrophic.

Diagnosis

Clinical suspicion confirmed by biopsy.

Pathology

Unknown. Some drug eruptions can mimic rash. In addition, some studies indicate an association between L.P. and Hepatitis C.

Principles of Therapy

Topical steroids [Clobetasol (strong), Triamcinolone (mod.), Hydrocortisone (mild)] and antihistamines. Drug history and Hepatitis screen may be helpful.


Category: Dermatology Notes

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