Lichen planus verrucosus in an association with vitiligo

Abstract

Lichen planus (LP) is a chronic inflammatory disease with characteristic skin lesions and histological findings. Hypertrophic lichen planus, also known as lichen planus verrucosus, is a subtype of lichen planus. Lichen planus verrucosus is clinically characterized by pruritic symmetric hyperkeratotic plaques of red, yellow-gray, red-brown or purplish-grey colour, usually located on the pretibial or perimalleolar areas, less often on the arms or trunk. Lichen planus affects about 0.5 – 1 % of the population. Hypertrophic lichen planus is a less common form of lichen planus. It accounts for 4.7 % of lichen planus cases. The disease has a chronic course, and it is often resistant to local and systemic treatment. This article describes a rare lichen planus verrucosus form in association with vitiligo.

Zusammenfassung

Lichen planus (LP) ist eine chronische Hautkrankheit, die klinisch typische Hautveränderungen aufweist und durch eine typische Histologie gekennzeichnet ist. Der hypertrophe LP, auch als Lichen planus verrucosus bekannt, zeichnet sich durch juckende, symmetrische, hyperkeratorische, gelbgraue, rotbraune oder rötlichgraue Papeln aus, meist an der Vorderseite der Unterschenkel oder in der Knöchelregion, seltener an Händen oder am Rumpf. Die Häufigkeit des LP liegt bei 0,5 – 1 %. Der hypertrophe LP ist eine seltene Form, die nur bei 4,7 % der Lichen planus-Fällen gefunden wird. Diese Krankheit verläuft chronisch und ist üblicherweise recht therapieresistent gegenüber topischer und systemischer Behandlung. Dieser Beitrag beschreibt die seltene Form des Lichen planus verrucosus in einer Assoziation mit Vitiligo.

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