This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
To the Editor.—
Lesions of lichen planus, as a rule, leave behind a corresponding area of hyperpigmentation on healing. Recently, we observed a patient with lichen planus, in whom the lesions healed with depigmentation.
Report of a Case.—
A 22-year-old woman had developed itchy, violaceous papular lesions on the extensors of the upper extremities during a two-month period. The mucous membranes were not involved, and the skin elsewhere was quite normal. There was no evidence of vitiligo. Results of a histopathologic study of a papule confirmed the diagnosis of lichen planus. The patient received prednisolone (20 mg/ day) orally. Within three weeks, the lesions started to regress, and all the lesions cleared within 1½ months but left behind depigmented areas that corresponded exactly to the size of the original lesions. Prednisolone therapy was gradually withdrawn, and the patient received a psoralen (40 mg/day) orally. In about two months' time,
Kanwar AJ, Singh OP. Leukoderma as a Sequela of Lichen Planus. Arch Dermatol. 1978;114(1):130. doi:10.1001/archderm.1978.01640130088040