Palmoplantar lichen planus presenting with vesicle-like papules

Gündüz K.; Inanir I.; Türkdogan P.; Sacar H.

Palmoplantar lichen planus presenting with vesicle-like papules

Date

2003

Authors

Publisher

Japanese Dermatological Association

Abstract

Palmoplantar lichen planus is a rare, localized variant of the disease that mav create difficulty in diagnosis if it is present as an isolated finding. Although several morphological patterns may be seen, plaques or small papules with compact hyperkeratosis are usually observed. We present a 25-year-old woman with a one-month history of slightly pruritic, red papules on her palms and soles. Dermatologic examination revealed numerous, asymptomatic, unscaly, red papules on her palms and soles, some of them resembling vesicles and white reticulate plaques on both sides of the buccal mucosa. The diagnosis was established by the typical histopathological features of lichen planus. Although resistant to topical corticosteroids, she responded well to systemic corticosteroid therapy, and no recurrence was observed during the follow-up period of one year.