Lichen planus Flashcards

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1
Q

Common sites for lichen planus?

A

Forearms, wrists, legs
Can be in oral mucosa - so check here

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2
Q

Describe lichen planus lesions

A

Violaceous (lilac) flat topped papules or hyperpigmented papules
Symmetrical distribution
In darker skin = skin has purplish tinge
In mouth = white lace pattern on buccal mucosa

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3
Q

Associated features of lichen planus?

A

Nail changes (thinning)
Hair loss
Mouth - painless lacy white streaks (white lace pattern - Wickham striae)

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4
Q

Investigations for possible lichen planus?

A

Skin biopsy

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5
Q

Management for lichen planus?

A

Corticosteriods - topical
Antihistamines

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6
Q

Drug causes of lichen planus?

A

Quinines
Thiazides

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