Palmoplantar Lichen Planus: A Report of four cases

Year 2011, Volume: 2 Issue: 1, 80 - 84, 01.03.2011

Derya Uçmak Ruken Azizoğlu Mehmet Harman

https://doi.org/10.5799/ahinjs.01.2011.01.0214

Abstract

Lichen planus is a benign, inflammatory and itchy dermatosis that is incurred by skin, skin extensions and mucosa. Lichen planus rarely show palmoplantar involvement. Since stratum corneum in palmoplantar lichen planus is extremely thick, lesions can be yellow colored instead of the purple colored papules that are classic lesions. Clinically, it might be confused with psoriasis, secondary syphilis, verruca vulgaris, hyperkeratotic eczema, palmoplantar keratodermas, hyperkeratotic type tinea pedis and xanthomas. In this report, four lichen planus cases were presented who represented palmoplantar involvement.

Keywords

Lichen planus, palmoplantar, hyperkeratosis

Palmoplantar Lichen Planus: Dört olgu sunumu

Abstract

Liken planus deri, deri eklentileri ve mukozayı tutan selim, yangısal ve kaşıntılı bir dermatozdur. Liken planus nadiren palmoplanter tutulum gösterir. Plamoplanter liken planusda stratum corneum çok kalın olduğu için bu bölgedeki lezyonlar klasik erguvani görünüm yerine sarı renkte olabilir. Klinik olarak psoriasis, sekonder sifiliz, siğil, hiperkeratotik egzema, palmoplanter keratoderma, hiperkeratotik tinea pedis ve ksantomalar ile karıştırılabilir. Bu raporda, palmoplantar tutulum gösteren dört liken planus olgusu sunulmuştur.

Keywords

Liken planus, palmoplanter, hiperkeratozis

References

• Sanchez-Perez J, Rios Buceta L, Fraga J, García-Díez A. Lichen planus with lesions on the palms and/or soles: pre- valence and clinicopathological study of 36 patients. Br J Dermatol 2000;142:310-314.
• Karakatsanis G, Patsatsi A, Kastoridou C, Sotiriadis D. Palmoplantar lichen planus with umbilicated papules: an atypical case with rapid therapeutic response to cyc- losporin. J Eur Acad Dermatol Venereol 2007;21:977- 1010.
• Black MM. Lichen planus and lichenoid disorders. In: Textbook of Dermatology (Champion RH, Burton JL, Burns DA, Breathnach SM, eds). 6th ed. Oxford: Black- well Science 1998;1899-926.
• Habif TP. Clinical Dermatology A Color Guide to Diagno- sis and Therapy. 2nd ed. St Louis: the C.V. Mosby Com- pany 1990:143-82.
• Ameen-Sait M, Garg BR. Punctate keratoses of palms in li- chen planus. Int J Dermatol 1986;25:592-593.
• Madison KC. Lichen planus, pityriasis rosea, pityriasis ru- bra pilaris, and related conditions. In: Principles and Prac tice of Dermatology (Sams WM, Lynch PJ, eds). New York: Churchill Livingstone 1990:325-340.
• Bazex MMA, Dupré A, Christol B, Rumeau H. Lichen plan palmaire réalisant l’aspect d’une kératodermie avec po- rokératosisme. Bull 1968;75:331-334. Fr Dermatol Syphiligr
• Cram DL, Kierland RR, Winkelmann RK. Ulcerative lichen planus of the feet. Arch Dermatol 1966;93:692-701.
• Crotty CP, Su WPD, Winkelmann RK. Ulcerative lichen planus: follow-up of surgical excision and grafting. Arch Dermatol 1980;116:1252-1256.
• Fellner MJ. Lichen planus. Int J Dermatol 1980;19:71-75.
• Daoud MS, Pittelkow MR. Lichen planus. In: Fitzpatrick’s Dermatology in General Medicine (Freedberg IM, Eisen AZ, Wolff K, eds). 5th ed. New York: McGraw-Hill, 1999:561-77.
• Gibson LE, Perry HO. Papulo-squamous eruptions and ex- foliative dermatitis. In: Dermatology (Moschella SL, Hur- ley HJ, eds). 3rd ed. Philadelphia: W.B. Saunders, 1992:607-52.