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Feb 24, 2023, 7 tweets

A 53-year-old woman

👉presented with intensely itchy skin lesions and burning in her mouth

Wrist area,...

What is the diagnosis?

Lichen sclerosus

Lichen planus

Psoriasis

Eczema

Tinea cruris

The correct answer is Lichen Planus

This is a condition that can manifest in the oral cavity, skin, or anogenital regions;

clinical presentation of lichen planus varies depending on the area involved

Cutaneous lichen planus is characterized by flat-topped, violaceous papules.

👉 lesions may resolve spontaneously;

👉 goal of treatment is to shorten the time between onset and resolution of the lesions and to reduce itching.

Lichen planus

Ddx

Lichen Planus

nejm.org/image-challeng…

Treatment

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