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[Lichen ruber ulcerosus].
1Hautklinik der Städtischen Kliniken Darmstadt.
Summary
This case report details an 83-year-old woman with lichen ruber ulcerosus, presenting with extensive foot ulcerations and alopecia. Mesh grafting proved effective for treating the ulcerative defect, highlighting it as a preferred therapy.
Area of Science:
- Dermatology
- Clinical Case Reports
Background:
- Lichen ruber ulcerosus is a rare ulcerative variant of lichen planus.
- The condition can manifest with diverse mucocutaneous symptoms.
Observation:
- An 83-year-old woman presented with extensive sole ulcerations, toe synechiae, scalp alopecia, vulvar atrophy, and lichen planus lesions.
- The patient's history included chronic recurrent paronychia.
Findings:
- The extensive ulcerative defect on the foot was successfully managed with mesh grafting.
- Mesh grafting is identified as the therapy of choice for this ulcerative condition.
Implications:
- This case highlights the successful application of mesh grafting for severe ulcerative lichen ruber.
- Early recognition and appropriate treatment are crucial for managing this debilitating dermatological condition.