Different clinical presentations of Lichen Planus
DOI:
https://doi.org/10.66344/jpad.v32i2.1859Abstract
Objective To determine the frequency of different clinical variants of lichen planus.
Methods A prospective cross-sectional study was done including 255 patients of all ages and both sexes attending Dermatology outdoor at Shaikh Zayed Hospital, Lahore from January 2018 to December 2019.
Results Out of 255 patients in this study, 134 (53%) were females and 121 (47%) were males. The mean age of the patients was 51±23.35 years. Among cutaneous variants, classic LP was the predominant clinical type (40.3%, n=103), followed by hypertrophic LP (n= 23, 9%), lichen planus pigmentosus ( n=19, 7.6%), lichen nitidis (n=17, 6.6%), generalized eruptive lichen planus (n=14, 5.5%), lichenoid drug eruption ( n=9, 3.5%), follicular (n=4, 1.5%), annular and actinic each (n=3, 1.17% ), bullous (n=2,0.78% ), and atrophic (n=1,0.4%) variety. Oral lichen planus was seen in 54 patients (21.7%). The most frequent occurrence was of reticular type (n=21, 8%), followed by pigmented (n=17, 7%) and erosive variant (n=16, 6%). Out of 54 patients with oral lesion of lichen planus, 43 of them (16. 9%) oral lesion in combination with cutaneous lesions most commonly with classic LP (n=28, 10.10%), hypertrophic (n=12, 4.7%), LPP (n=1, 0.4%), follicular LP (n=1, 0.4%), and nail pterygium (n=1, 0.4%). Oral lesion were absent with other variant of LP like atrophic, annular and generalized eruptive. Koebner’s phenomenon was seen in 27 patients (10.6%), while nail and genital involvement was noted in 34 and 3 (13% and 1.17%) patients respectively.
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