HYPERTROPHIC LICHEN PLANUS

By Gary M. White, MD

Hypertrophic lichen planus

Hypertrophic lichen planus (HLP) is a variant of lichen planus (LP) in which the skin lesions become thickened and hyperkeratotic.

Clinical

Hyperkeratotic or verrucous nodules and plaques are characteristic, most commonly on the legs. Extremely rarely, malignant change may occur (see reference below).

Treatment

The standard therapies for LP may be given. Scratching should be discouraged to prevent the similar changes of lichen simplex chronicus. A potent topical steroid ointment BID is usually necessary. For individual problematic lesions, intralesional triamcinalone 5-10 mg/cc may be given. A topical steroid-impregnated tape may be helpful (e.g. Cordran). Any growing, resistant area should be biopsied.

Additional Pictures

Hypertrophic lichen planus Hypertrophic lichen planus of the penis

References

Malignant transformation of lichen planus hypertrophicus into squamous cell carcinoma. Indian J Paediatr Dermatol 2016;17:18-20

RegionalDerm

Homepage | FAQs | Use of Images | Contact Dr. White


It is not the intention of RegionalDerm.com to provide specific medical advice, diagnosis or treatment. RegionalDerm.com only intends to provide users with information regarding various medical conditions for educational purposes and will not provide specific medical advice. Information on RegionalDerm.com is not intended as a substitute for seeking medical treatment and you should always seek the advice of a qualified healthcare provider for diagnosis and for answers to your individual questions. Information contained on RegionalDerm.com should never cause you to disregard professional medical advice or delay seeking treatment. If you live in the United States and believe you are having a medical emergency call 911 immediately.