Publication: Lichen Planus Pigmentosus with Atypical Presentation- A Case Report
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON)
Abstract
Abstract:
Lichen planus pigmentosus (LPP) is a chronic pigmentary disorder that shows diffuse or reticulated hyperpigmented, dark brown macules and patches on the sun-exposed areas such as the face, neck and other flexural folds. Clinically, it is different from classical lichen planus because LPP has a longer clinical course and it manifests with dark brown macules. In case of LPP, involvement of the scalp, nail or mucosal area is rare. The histopathological findings of the lesions show an atrophic epidermis, the presence of melanophages and a vacuolar alteration of the basal cell layer with a sparse lymphohistiocytic lichenoid infiltration. Here we report a case of lichen planus pigmentosus over sun protected areas sparing sun exposed and flexural folds.
Description
Author Biographies
Akshay Patankar, Department of Dermatology, MIMSR Medical College, Latur, Maharashtra, India
Junior Resident
Akshata A Mane, Department of Dermatology, MIMSR Medical College, Latur, Maharashtra, India
Junior Resident
Manjaree Morgaonkar, Department of Dermatology, MIMSR Medical College, Latur, Maharashtra – 413512, India
Senior Resident
Keywords
lichen planus pigmentosus, Pigment Incontinence, Sun protected areas