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Lichen planus affecting eyelid alone: a rare entity.

Shyam B Verma1

  • 1Baroda, India. vermaderma@rediffmail.com

Indian Journal of Dermatology, Venereology and Leprology
|October 20, 2006
PubMed
Summary

Lichen planus isolated to the eyelid is rare, with only 11 cases documented. This case highlights eyelid lichen planus as a crucial differential diagnosis for persistent eyelid dermatitis.

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Area of Science:

  • Dermatology
  • Ophthalmology

Background:

  • Lichen planus is a common inflammatory condition.
  • It typically affects the skin, hair, nails, and mucous membranes.
  • Ocular adnexal involvement is uncommon.

Observation:

  • A rare case of lichen planus exclusively affecting a single lower eyelid is presented.
  • The patient exhibited characteristic clinical and histopathologic findings.
  • This presentation is unusual given the typically widespread nature of lichen planus.

Findings:

  • Histopathologic examination of the eyelid biopsy confirmed lichen planus.
  • The diagnosis was based on characteristic microscopic features.
  • This case adds to the limited literature on isolated eyelid lichen planus.

Implications:

  • Lichen planus should be considered in the differential diagnosis of eyelid dermatitis.
  • Early recognition and diagnosis are important for appropriate management.
  • Further research may elucidate the specific mechanisms of isolated adnexal involvement.

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