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Image Number 1200 (Lichen planus)

 
Morphology:
Keratoderma

Diagnosis: Lichen planus

Site: Hand,palm

Sex: M

Age: 55

Type:

Description: Yellowish keratoderma.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History: Hyperkeratotic papules and plaques involving both surfaces of both hands of three years duration. The lesions on the dorsum of both hands were severely pruritic, skin-colored and markedly hyperkeratotic (LP hypertrophicus), whereas palmar papules are coalesced together resulting in a characteristically yellowish keratoderma. Oral mucosa was involved by an asymptomatic whitish papules and plaques in a network-like pattern.

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