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Lichen Planus Pigmentosus: A study for association of Thyroid Dysfunction
D Karn1, S Kc1, M Timalsina1
1Department of Dermatology, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, Kavre, Nepal.
Thyroid dysfunction is associated with lichen planus pigmentosus (LPP). This study found higher rates of thyroid disorders and antibodies in LPP patients, suggesting routine thyroid screening for LPP diagnosis.
Area of Science:
- Dermatology
- Endocrinology
Background:
- Lichen planus pigmentosus (LPP) is a chronic skin pigmentation disorder with unknown etiology.
- Existing research suggests potential links between pigmentation disorders and thyroid conditions.
Purpose of the Study:
- To investigate the association between lichen planus pigmentosus (LPP) and thyroid dysfunction.
- To determine if thyroid function tests and thyroid peroxidase antibody levels differ between LPP patients and healthy controls.
Main Methods:
- A case-control study involving 54 LPP patients and 54 matched healthy controls.
- Analysis of thyroid function tests (thyroid-stimulating hormone, free T4, etc.) and thyroid peroxidase antibodies.
Main Results:
- A significant proportion of LPP patients (31.7%) exhibited hypothyroidism, with a smaller number showing hyperthyroidism.
- Thyroid peroxidase antibody levels were significantly elevated in LPP patients compared to controls.
- A notable difference in hypothyroidism prevalence was observed between LPP patients and controls (p < 0.05).
Conclusions:
- Thyroid disorder is identified as a significant associated factor in lichen planus pigmentosus.
- Routine thyroid function testing is recommended for individuals diagnosed with LPP.
- Further extensive research is needed to fully understand the specific relationship between LPP and thyroid diseases.
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