A 25-year-old woman came with an itchy red rash on her back since 2 years ago. This lesion then extended to the abdomen, arms and legs. From the patient’s back, we found irregular linear hyperpigmented patches with some of the edges in the form of hyperpigmented plaques. On the abdomen, arms and legs, erythema-hyperpigmented plaque and patches were visible along the elevated edges with multiple scattered sizes. Lichen planus (LP) has several types based on various clinical manifestations. The diagnosis of LP can be made based on the clinical appearance and symptoms of pruritus. Many diseases can mimic other diseases so histopathology is used to make the diagnosis. Here, we report a case of LP with unusual features with diagnosis confirmed by histopathological examination. The patient was treated with oral and topical potent corticosteroids with good response.
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Contributors Drafting the manuscript: FY and NKP; revising the manuscript critically for important intellectual content: FY and NKP; approval of the version of the manuscript to be published: FY and NKP.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.