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Violaceous papules on the palms and soles
Melody J Cheung-Lee1, Jaggi Rao
1Division of Dermatology and Cutaneous Sciences, University of Alberta, Edmonton, AB, Canada. melody@ualberta.ca
Journal of Cutaneous Medicine and Surgery
|February 9, 2008
Summary
This case study highlights a rare palmoplantar variant of lichen planus (LP) presenting as pustule-like papules. Effective treatment involved topical corticosteroids and oral acitretin, leading to complete resolution.
Area of Science:
- Dermatology
- Clinical Case Reports
Background:
- Lichen planus (LP) exhibits diverse clinical presentations.
- Palmoplantar involvement is an uncommon manifestation of LP.
Observation:
- A 60-year-old woman presented with a unique palmoplantar eruption.
- The eruption featured violaceous pustule-like papules, atypical for classic LP.
Findings:
- Biopsy confirmed the diagnosis of lichen planus.
- The patient achieved dramatic resolution of symptoms within two months.
- Treatment success was attributed to combined topical corticosteroids and oral acitretin.
Implications:
- Palmoplantar LP is a rare variant with distinct clinical features.
- This variant responds favorably to a combination therapy of potent topical corticosteroids and oral acitretin.
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