VEZİKÜL BENZERİ PAPÜLLER ŞEKLİNDE GÖRÜLEN PALMOPLANTAR LİKEN PLANUS

Year 2009, Volume: 15 Issue: 1, 37 - 40, 01.03.2009

Selda Pelin Kartal Durmazlar Fatma Eskioğlu Semih Tatlıcan Özlem Bilgiç Murat Oktay

Abstract

Palmoplantar liken planus izole olarak görüldüğünde teşhiste zorluk oluşturan hastalığın nadir görülen sınırlı tipidir. Biz, bir aydan beri avuç içi ve ayak tabanında kaşıntılı kırmızı papülleri nedeniyle daha önce tinea pedis tanısı almış olan 47 yaşında erkek hastayı sunmaktayız. Dermatolojik incelemede avuç içi ve ayak tabanında kırmızı ve sarı papüller ve ayakların medial bölgesinde bazıları veziküle benzeyen kırmızı-mor papüller gözlemlendi. Teşhis liken planusun tipik histopatolojik görünümü ile kondu. Topikal kortikosteroide direnç göstermesine rağmen, hasta sistemik kortikosteroid tedavisine iyi cevap verdi. Bu olgu dikkatli fizik inceleme ve biyopsinin benzer görünümlü olgulardaki önemini vurgulamaktadır

Keywords

Deri hastalıkları, liken planus

PALMOPLANTAR LICHEN PLANUS PRESENTING WITH VESICLE-LIKE PAPULES

Abstract

Palmoplantar lichen planus is a rare, localized variant of the disease that may create difficulty in diagnosis if it is present as an isolated finding. We present a 47-year-old man with a one-month history of pruritic, red papules on his palms and soles that had previously been diagnosed as tinea pedis. Dermatologic examination revealed red and yellow papules on his palms and soles and red-purple papules on the medial aspect of the feet, some of them resembling vesicles. The diagnosis was established by the typical histopathological features of lichen planus. Although resistant to topical corticosteroids, the patient responded well to systemic corticosteroid therapy. This case emphasizes the role of careful physical examination and the biopsy when presented such cases

Keywords

Skin diseases, lichen planus

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