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Case Reports
. 2020 Apr;93(2):210-212.
doi: 10.15386/mpr-1383. Epub 2020 Apr 22.

Generalized hypertrophic lichen planus: an atypical presentation of a characteristic disease

Sharan Mirchandani  1 , Devesh Sanjeev Ballal  1 , Gabriel Rodrigues  1 , Kanthilatha Pai  2
Affiliations
Case Reports

Generalized hypertrophic lichen planus: an atypical presentation of a characteristic disease

Sharan Mirchandani et al. Med Pharm Rep. 2020 Apr.

Abstract

Lichen planus is a common chronic inflammatory condition that affects skin and mucous membranes. Management is often delayed because of patient embarrassment or misdiagnosis by the clinician. Early recognition and treatment is essential to reduce the morbidity of this condition. We present a 58-year-old woman diagnosed with generalized hypertrophic lichen planus, a rare event, reported to occur usually on lower extremities, but found to be generalized in our patient, requiring excision of symptomatic lesions. We suggest a multidisciplinary approach to allay the anxiety and symptoms of these patients and to improve the quality of life and clinical outcomes.

Keywords: excision; inflammation; lichen planus; pruritis; recurrence; steroids.

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Figures

Figure 1
Figure 1
(A & B). Multiple, well-defined, discrete, hyperpigmented, hyperkeratotic, scaly lesions on the extremities.
Figure 2
Figure 2
Photomicrograph showing hyperkeratosis, irregular acanthosis, pseudoepitheliomatous hyperplasia, wedge shaped hypergranulosis, focal parakeratosis with a dense lymphocytic and eosinophilic infiltrate (H and E, ×40).
See this image and copyright information in PMC

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