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Lichen Planus—Mainly Palmar Involvement. Presented by Dr. Bernard A. Kirshbaum.
The patient is a 52-year-old white woman, a housewife, with a history of diabetes.Lesions on the left palm developed about two months ago near the thenar eminence. They spread over the entire palmar surfaces of both hands and gradually forearms, legs, and feet became involved (Fig 1). The eruption has been diminishing with the initiation of therapy several weeks ago. One lesion is centrally present on the tongue, but her buccal mucosa is normal.
Numerous erythematous papular lesions are present (mainly discrete, some confluent) on the palms of both hands. A minimal eruption consisting of scattered similar lesions is present on forearms, legs, and feet. This is now regressing.
Flurandrenolone (Cordran) cream was applied locally to hands under occlusive dressings.Dr. George W. Hambrick, Jr.: Of the lichen planus patients that I have seen with palm and sole skin involvement, this is the first in which the morphology of the lesions in these particular sites was such that a
Corson JK, Graham JH, Siegel JM. PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Dermatol. 1967;96(3):335-342. doi:10.1001/archderm.1967.01610030113020