Palmoplantar lichen planus presenting with vesicle-like papules.
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. Although several morphological patterns may be seen, plaques or small papules with compact hyperkeratosis are usually observed. We present a 25-year-old woman with a one-month history of slightly pruritic, red papules on her palms and soles. Dermatologic examination revealed numerous, asymptomatic, unscaly, red papules on her palms and soles, some of them resembling vesicles and white reticulate plaques on both sides of the buccal mucosa. The diagnosis was established by the typical histopathological features of lichen planus. Although resistant to topical corticosteroids, she responded well to systemic corticosteroid therapy, and no recurrence was observed during the follow-up period of one year.
Gündüz
Kamer
K
Department of Dermatology, Medical Faculty of Celal Bayar University, Manisa, Turkey.
Inanir
Isil
I
Türkdogan
Peyker
P
Sacar
Handan
H
D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D000328:Adult; D001707:Biopsy, Needle; D003937:Diagnosis, Differential; D005260:Female; D005533:Foot Dermatoses / Q000188:drug therapy / Q000473:pathology*; D006229:Hand Dermatoses / Q000188:drug therapy / Q000473:pathology*; D006801:Humans; D007150:Immunohistochemistry; D008010:Lichen Planus / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology*; D035583:Rare Diseases; D012872:Skin Diseases, Vesiculobullous / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology*; D016896:Treatment Outcome
D000305:Adrenal Cortex Hormones