Coexistence of nail lichen planus and lichen planus pigmentosus

Lemes, Luciana Rodino; Verde, Renata Brandão Villa; Durães, Sandra Maria Barbosa; Junior, Adolpho de Alencar Araripe; Pantaleão, Luciana

doi:10.1590/abd1806-4841.20164635

Cited by 5 publications

(5 citation statements)

References 9 publications

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“…It most commonly affects female individuals with high skin phototypes (Fitzpatrick skin phototypes III to VI) and it is rarely seen in fair-skinned people [3, 4]. In this work, we describe a postmenopausal female patient with late-stage frontal fibrosing alopecia (FFA) and facial LPPig involving the upper eyelids.…”

Section: Introductionmentioning

confidence: 99%

Hyperpigmented Upper Eyelid: A Clue to the Diagnosis of Facial Lichen Planus Pigmentosus in a Patient with Frontal Fibrosing Alopecia

Dias

Rezende

Cury

et al. 2018

Skin Appendage Disord

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Facial lichen planus pigmentosus (LPPig), a rare variant of classic lichen planus, was first described in patients with frontal fibrosing alopecia (FFA) by Dlova [Br J Dermatol 2013; 168: 439–442] in 2013. The diagnosis of facial LPPig is sometimes not easy, since clinical signs and histopathological features may frequently be confused with melasma or postinflammatory hyperpigmentation. We describe a case of a postmenopausal black woman diagnosed with FFA who presented with an identical brown-grayish pigmentation of the face and upper eyelids and typical dermoscopy analysis on both regions. We suggest that the hyperpigmentation of the upper eyelid with typical LLPig dermoscopy (upper eyelid sign) may be a clue for the diagnosis of LPPig and may avoid a scar-causing face biopsy.

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Section: Introductionmentioning

confidence: 99%

Hyperpigmented Upper Eyelid: A Clue to the Diagnosis of Facial Lichen Planus Pigmentosus in a Patient with Frontal Fibrosing Alopecia

Dias

Rezende

Cury

et al. 2018

Skin Appendage Disord

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“…Pterygium, anonychia, erythronychia, red lunula, trachyonychia, and splinter hemorrhagia may also be observed [3,10]. Nail involvement in LPP or FFA is rarely reported [2,4,11]. The nail findings presented by our patient were the most commonly seen nail changes in LP.…”

Section: Discussionmentioning

confidence: 76%

“…Various nail signs, including longitudinal ridging, onycholysis, pterygium, onychoatrophy, and anonychia may be seen [3]. Rare cases of nail LP and LPP coexistence have been reported [2, 4].…”

Section: Introduction/literature Reviewmentioning

confidence: 99%

Multiple Clinical Manifestations of Lichenoid Spectrum: A Patient with Frontal Fibrosing Alopecia, Lichen Planus Pigmentosus, and Nail Lichen Planus

Solak

Sezer

Anzerlioglu

et al. 2022

Skin Appendage Disord

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Introduction: Frontal fibrosing alopecia (FFA) is characterized by irreversible, symmetrical band-like hair loss in the frontotemporal region. Lichen planus pigmentosus (LPP) is a variant of lichen planus (LP) that presents with hyperpigmented macules and patches predominantly in sun-exposed areas. Nail LP is a subtype of LP that can be present alone or with other forms of LP. Case Report: We report a rare case of a 59-year-old woman presenting with symmetrical, gray-brown, hyperpigmented lesions on her neck and face, band-like alopecia in the frontotemporal region, severe onycholysis in two fingernails, and prominent longitudinal ridging in all fingernails. Clinical, dermoscopic, and histological findings established a diagnosis of FFA associated with LPP and nail LP was established. Discussion/Conclusion: In recent years, it has been established that FFA can be associated with LPP and it is thought to be a variant of lichen planopilaris. Nail involvement is rarely reported in FFA or LPP. To our knowledge, the presence of the three conditions in the same patient has not been previously reported. Although rare we would like to emphasize the importance of a careful examination of the nails in patients with FFA and/or LPP to prevent irreversible nail changes.

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“…LPP can impact the patient's quality of life due to its chronic and progressive remissions and exacerbations from 6 months to 3 years [ 12 ]. Previous studies reported that LPP can occur with lichen planus (LP), as active or resolving LP lesions can be found in patients with LPP [ 5 , 13 ]. LPP also coexists with other variants of LP such as lichen planopilaris [ 14 ] and oral lichen planus (OLP) [ 15 – 17 ].…”

Section: Discussionmentioning

confidence: 99%

Oral Chronic Mucositis in a Known Lichen Planus Pigmentosus Patient

Pinchaleaw,

Limlawan

2024

Case Reports in Dentistry

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Oral manifestations of mucocutaneous inflammatory diseases such as lichenoid dermatoses often affect the patient’s quality of life through the symptoms of pain and burning sensation. In this case report, a patient with known lichen planus pigmentosus (LPP), a variant of lichenoid dermatoses that rarely affect oral mucosa, presented with chronic pain in the oral cavity for 2 months. Her intraoral examination revealed multiple pseudomembranous ulcers with erythematous areas and white striae similar to erosive lichen planus. The histological assessment revealed chronic mucositis, while the direct immunofluorescent examination showed negative results, contradicting the diagnosis of both lichen planus and LPP. Thus, the diagnosis was given as chronic mucositis, and the topical steroid was given. After 6 weeks of steroid application, the lesion resolved. To the best of our knowledge, this is the first report of chronic mucositis in LPP patients. This report could raise the awareness of clinicians to carefully take history as the patient with LPP may suffer from chronic mucositis in the oral cavity as well.

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Coexistence of nail lichen planus and lichen planus pigmentosus

Cited by 5 publications

References 9 publications

Hyperpigmented Upper Eyelid: A Clue to the Diagnosis of Facial Lichen Planus Pigmentosus in a Patient with Frontal Fibrosing Alopecia

Hyperpigmented Upper Eyelid: A Clue to the Diagnosis of Facial Lichen Planus Pigmentosus in a Patient with Frontal Fibrosing Alopecia

Multiple Clinical Manifestations of Lichenoid Spectrum: A Patient with Frontal Fibrosing Alopecia, Lichen Planus Pigmentosus, and Nail Lichen Planus

Oral Chronic Mucositis in a Known Lichen Planus Pigmentosus Patient

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