The surface of lichen planus lesions may show white lines in a variable configuration (Wickham striae). These are characteristic but not apparent in many patients. Their recognition has been traditionally improved by painting the lesions with oil. Bringing this old approach up-to-date, we consider it worthwhile to communicate our experience in an atypical patient for whom exploration with a handheld dermatoscope allowed easier recognition of Wickham striae and facilitated the diagnosis of lichen planus. Moreover, it also allowed direct observation of the adjoining microvasculature.
Vázquez-López F, Alvarez-Cuesta C, Hidalgo-García Y, Pérez-Oliva N. The Handheld Dermatoscope Improves the Recognition of Wickham Striae and Capillaries in Lichen Planus Lesions. Arch Dermatol. 2001;137(10):1376. doi: