Cutaneous ulcerative lichen planus exhibiting pathergy, response to acitretin.
While ulcerative lichen planus is a common diagnosis when involving the mucosa, it is uncommonly found on the cutaneous surface. Cutaneous ulcerative lichen planus is usually found on the palmar or plantar surfaces and has only rarely been described elsewhere. We describe a case of cutaneous ulcerative lichen planus involving the pretibia and exhibiting pathergy, which to our knowledge has not been previously reported. We also describe successful treatment with oral acitretin in conjunction with topical and intralesional corticosteroids.
Henderson
Robert L
RL
Wake Forest University Baptist Medical Center, Winston-Salem, NC 27157-1071, USA.
Williford
Phillip M
PM
Molnar
Joseph A
JA
D017255:Acitretin / Q000627:therapeutic use*; D002990:Clobetasol / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007641:Keratolytic Agents / Q000627:therapeutic use*; D008010:Lichen Planus / Q000188:drug therapy* / Q000503:physiopathology; D008875:Middle Aged; D016896:Treatment Outcome; D014221:Triamcinolone / Q000627:therapeutic use
D005938:Glucocorticoids; D007641:Keratolytic Agents; D014221:Triamcinolone; D002990:Clobetasol; D017255:Acitretin