Lichen sclerosus et atrophicus involving the palms

Localized Lichen sclerosus et atrophicus of the Finger without Nail Dystrophy

“…Anogenital localization is the most common and, often, the only site of involvement. Extragenital disease has been described, but very few cases with only finger localization have been reported at the moment [3,4]. To our knowledge, we describe the first case of lichen sclerosus et atrophicus with only digital involvement and without nail dystrophy.…”

Palmar lichen sclerosus et atrophicus

“…Palmar involvement of LS&A is rarely documented; reported cases are summarized in Table I . The first reported patient with palmar involvement of LS&A was described by Purres and Krull 2 in 1971; their patient also had widespread cutaneous involvement and was resistant to treatment. In 1979, Petrozzi et al 4 reported a case of LS&A limited exclusively to the palms and soles that was resistant to salicylic acid and topical steroids.…”

Acrolocalized variant of lichen sclerosus initially manifesting as degenerative collagenous plaques of the hands

“…Acral involvement in LS, with lesions on palms and/or soles, and even with subsequent nail dystrophy, has been exceptionally reported as an atypical and unusual extragenital location of the disease. Acral involvement may be exclusive or associated with additional genital involvement or LS lesions on other extragenital sites …”