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Image Number 4838 (Lichen planus actinicus)

 
Morphology:
Hyperpigmentation

Diagnosis: Lichen planus actinicus

Site: Face

Sex: F

Age: 51

Type:

Description: Butterfly hyperpigmentation

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History:

 An asymptomatic, darkly hyperpigmented patches involved the butterfly area of the face of 10 months duration. It poorly responded to many topical therapies. Bleaching agents, topical CS, Alpha-hydroxylic acids, Azeliaxc acid and other topicals in addition to lasers are usually in effective in stopping the progressuion or even ameliorating this condition which represents a therapeutic dilemma in tropical and subtropical countries!  



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