Lichenoid Eruptions Flashcards
1
Q
What are the two most common types of lichenoid eruption?
A
Lichen planus
Lichenoid drug eruption
2
Q
Which age group get lichen planus?
A
Middle age
3
Q
What does the rash look like in lichen planus and where is it?
A
Violaceous (pink/purple) flat topped shiny papules
Volar wrists/forarms, shins and ankles
–> Intensely itchy
4
Q
What other feature is often seen in lichen planus?
A
Wickham’s striae
–> fine LACE-like pattern inside mouth and on surface of papules
5
Q
What is the clinical course of lichen planus?
A
Usually lasts 12-18 months before burning out
6
Q
What is the management of lichen planus?
A
Check for possible drug precipitant Emollients Topical steroids (potent/very potent) Oral steroids if extensive UVB phototherapy or PUVA
