Lichen Planus

Exam Cram

• Moa: auto-immune, T cell reaction

• Presentation: violaceous, itchy raised papules on flexor surfaces and mucosal lining, white streaks

• Diagnosis: clinical

• Management: observe, topical steroids 

Outline

Presentation

Associated with males and Primary Biliary Cirrhosis (PBC) 

Differentials

Lichen sclerosis

• White streaks in anogenital areas, more common in females

Management

1. Watch & wait

2. Topical steroids

3. PO: azathioprine, calcineurin inhibitors or MMF

Written in 2024.