Therapeutic Strategies in Dermatology

Lichen Nitidus

…e pruritus induces patients to rub the skin intensely and to scratch furiously, the resultant factitious lesions being erythematous, often scaly, macules, patches, papules, and plaques that tend to become lichenified, eroded, ulcerated, and crusted….

Therapeutic Strategies in Dermatology

Lichen Sclerosus et Atrophicus

…e pruritus induces patients to rub the skin intensely and to scratch furiously, the resultant factitious lesions being erythematous, often scaly, macules, patches, papules, and plaques that tend to become lichenified, eroded, ulcerated, and crusted….

Therapeutic Strategies in Dermatology

Lichen Planus: Key Points

Key Points Lichen planus (LP) is a pruritic eruption that may be self-limited or chronic, and may affect skin, mucosa (including the esophagus), and hair. The classic morphology of lichen planus is violaceous-to-purple, flat-topped polygonal papule…

Therapeutic Strategies in Dermatology

Lichen Planus: Treatment

…oquine. Discontinue these agents. In the case of gold-induced lichen planus, resolution may take months. Lesions of oral lichen planus have been reported in associated with dental mercurial amalgams or other dental prosthetics and likely reflect a hy…

Therapeutic Strategies in Dermatology

Lichen Planus: Initial Evaluation

Initial Evaluation Lesions of lichen planus are marked by violaceous-to-purple flat-topped papules, often with a white-to-lavender reticulate overlying scale (Wickham’s striae). Patients report intense pruritus and sometimes koebnerization (de…

Therapeutic Strategies in Dermatology

Lichen Planus: References

References Assouly P and Reygagne P (2009) Lichen planopilaris: update on diagnosis and treatment, Semin Cutan Med Surg, 28:3-10. Asch S and G Goldenberg (2011) Systemic treatment of cutaneous lichen planus: an update, Cutis, 87:129-134. Birkenfeld…

A Clinical Atlas of 101 Common Skin Diseases

Alopecias

Loss of hair attributable either to the effects of inflammatory cells on follicles or to physiological or mechanical factors in which inflammatory cells play no role. Although the scalp is the site most often affected, any region of the skin that be…

A Clinical Atlas of 101 Common Skin Diseases

Squamous Cell Carcinoma

…ule on skin damaged badly by sunlight is referred to as solar keratosis. When present as a plaque it is termed Bowen’s disease, and when present as many papules in the anogenital region it is called bowenoid papulosis. Solar keratosis, Bowen&#8…

Therapeutic Strategies in Dermatology

Lichen Planus: Clinical Cases

Clinical Cases Case 1 Generalized cutaneous and mucosal lichen planus 53-year-old man with hepatitis C viral infection Acute onset of intensely pruritic, purpuric, papular eruption No constitutional symptoms Initial evaluation Bilateral…