Lichen planus

Question 1

Presentation of Lichen planus

Answer 1

itchy, papular rash most common on the palms, soles, genitalia and flexor surfaces of arms

rash often polygonal in shape, ‘white-lace’ pattern on the surface (Wickham’s striae)

oral involvement in around 50% of patients

Question 2

Treating Lichen planus

Answer 2

topical steroids are the mainstay of treatment

extensive lichen planus may require oral steroids or immunosuppression