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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 (development of lesions at areas of trauma/ injury). Presentation is almost always bilateral and symmetric. Oral mucosa is commonly affected (15% of cases), and buccal mucosal disease […]