Lichen planus verrucosus in association with vitiligo

Abstract

Introduction. Hypertrophic lichen planus (LP), also known as Lp verrucosus, is a chronic inflammatory disease characterized by pruritic symmetric hyperkeratotic plaques usually located on the pretibial or perimalleolar areas. This case report describes a rare LP verrucosus form in association wih vitiligo. Case report. A 72-year-old women presented with itchy hyperkeratotic pink nodules on the skin affected with vitiligo lesions, which were located on pretibial surfaces, arms, the back and neck as well. Her fingernails and toenails were hyperkeratotic and discolourated. Milky white reticular papules were seen on the oral mucosa. Abnormal findings included iron-deficiency anaemia and erosive gastritis. Dermatohistological examination showed hyperkeratosis, hypergranulosis, papillomatosis, acantosis, band-like lymphocyte infiltration with eosinophils, the presence of civatte and colloid bodies. The patient refused treatment with oral corticosteroids, hence symptomatic treatment with oral antihistamines, high potency steroids and UVA phototherapywas performed. [...].