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Image Number 546 (Lichen planus hypertrophic)


Diagnosis: Lichen planus hypertrophic

Site: Foot,sole

Sex: M

Age: 40

Type: Clinical

Description: Hypertrophic confluent plaques

Submitted by: Shahbaz Janjua

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Differential Diagnosis


Much of the 'hypertrophy' in the hypertrophic variant of lichen planus, is actually secondary to lichenification caused by repeated rubbing or scratching.  Lower extremities are most commonly involved.  High potency topical steroids under occlusion are the mainstay of treatment. 

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