Presentation
Lichen planopilaris Lichen planopilaris presents as tiny red spiny follicular papules and extending smooth areas on the scalp or less often, elsewhere on the body. Rarely, blistering occurs in the lesions. [dermnetnz.org]
(H& E stain 100x) Discussion Lichen planus actinicus is a photosensitive variant of lichen planus that can present with annular, melasma-like, dyschromic, or violaceous plaques in sun-exposed areas. [odermatol.com]
Lack of clinicopathologic correlation in the diagnosis of oral lichen planus based on the presently available diagnostic criteria and suggestions for modifications. J Oral Pathol Med. 2003;32:507‐512. Eisenberg E. [opmdcare.com]
Workup
Other Pathologies
- Lymphocytic Infiltrate
infiltrate at the dermo-epidermal junction. [dermnetnz.org]
Treatment
Specific treatment Treatment is not always necessary as cutaneous LP can be self-limiting and treatment goals are to manage pruritus. [dermnetnz.org]
Treatment strategies for lichen planus actinicus are based primarily on anecdotal reports but should include the use of sunscreens and sun avoidance [4]. [odermatol.com]
Systematic review of current systemic treatment options for erosive lichen planus. Expert Rev Dermatol 2012;7:269–82. Wee JS, Shirlaw PJ, Challacombe SJ, Setterfield JF. [opmdcare.com]
Prognosis
Types, causes, diagnostic algorhythms, prognosis, management strategies. Periodontol 2000. 2019 Jun;80(1):105-125. Warnakulasuriya S, Kujan O, Aguirre-Urizar JM, Bagan JV, González-Moles MÁ, Kerr AR, et al. [opmdcare.com]
Epidemiology
The aim of this work was to determine the epidemiological, anatomic and clinical features of actinic lichen planus in our region. [pubmed.ncbi.nlm.nih.gov]
Prevention
Presentation includes: Painless white streaks in a lacy or fern-like pattern Painful and persistent erosions and ulcers (erosive LP) Scarring, resulting in adhesions, resorption of labia minora and introital stenosis Painful desquamative vaginitis, preventing [dermnetnz.org]
Eur J Cancer Prevention 2005;14:525-9. McCartan BE, McCreary CE. Oral lichenoid drug eruptions. Oral Dis 1997;3:58-63. Den Haute VV, Antoine JL, Lachapelle JM. [opmdcare.com]