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Drawstring lichen planus: A unique case of Koebnerization.

Lakshmanan Kumara¹, Murugaiyan Rangaraj¹, Kaliaperumal Karthikeyan¹

¹Department of Dermatology and STD, Sri Manakula Vinayagar Medical College and Hospital, Madagadipet, Pondicherry, India.

Indian Dermatology Online Journal

|June 14, 2016

Summary

Drawstring dermatitis, a skin condition from tight clothing, can present as lichen planus. This rare case highlights how cultural clothing practices may influence common skin conditions.

Keywords:

Drawstring Koebner phenomenon Koebnerization lichen planus

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Area of Science:

Dermatology
Pathology
Medical Anthropology

Background:

Drawstring dermatitis is a frictional dermatitis caused by tight garments like saris or salwaar-kameez.
Lichen planus is a common inflammatory skin condition.

Observation:

A 54-year-old female patient presented with a rare manifestation of lichen planus.
The condition was localized to the drawstring site of her traditional attire.

Findings:

Histopathological examination confirmed lichen planus at the affected site.
This case is a rare instance of lichen planus presenting as drawstring dermatitis.

Implications:

Sociocultural practices, including clothing choices, can significantly impact the clinical presentation of dermatological conditions.
Understanding these influences is crucial for accurate diagnosis and management of skin diseases in diverse populations.