Palmar lichen sclerosus et atrophicus

Bilateral Burning Palmoplantar Lesions

“…Approximately 6% to 10% of patients with extragenital LS do not have genital involvement at the time of diagnosis. 3,5 Furthermore, LS involving the palms and soles is exceedingly rare. 2 Although extragenital LS may be asymptomatic, patients can experience debilitating pruritus; bullae with hemorrhage and erosion; plaque thickening with repeated excoriations; and painful fissuring, especially if lesions are in areas that are susceptible to friction or tension.…”

A case of acral lichen sclerosus et atrophicus

“…To the Editor : We read with great interest the case report of palmar lichen sclerosus et atrophicus by Seyffert and colleagues. 1 We recently managed a 67-year-old woman with acral lichen sclerosus, which clinically presented as multiple, white, hyperkeratotic papules, involving the bilateral palms, flexural wrists, toe webs, and the sides of the feet and toes ( Figs 1 and 2 ). Similar to the case reported by Seyffert et al, 1 she did not have any anogenital involvement, and her lesions were limited to the acral regions throughout her disease course.…”

“… 8 Therefore, lichen sclerosus should be considered in the differential diagnosis in the setting of ivory atrophic or bullous palmar-plantar lesions, even when lesions are isolated to acral regions. 1 …”