A 35-year-old man was referred to our hospital with a 3 months history of itchy cutaneous eruption on the trunk and asymptomatic cutaneous eruption on both groins. Physical examination revealed several, purplish-brown, scaly papules on the trunk and well-circumscribed, brown patchs in a linear distribution, on the bilateral inguinal regions. Dermoscopic examination of papules on the trunk revealed white crossing lines surrounded by brown dots; dermoscopic examination of patchs on groins revealed gray-brown dots and globules. According to histological, dermoscopical and clinical changes, the diagnoses of classical lichen planus (LP) for the lesions on the trunk; and lichen planus pigmentosus inversus (LPPI) for the lesions on the inguinal regions were made. Inhere we have described a rare case of LPPI and classical LP with dermoscopic features; and we suggest that LPPI is a variant of classical LP.
Key words: Lichen planus; lichen planus pigmentosus inversus; dermoscopy
CLASSICAL LICHEN PLANUS AND LICHEN PLANUS PIGMENTOSUS INVERSUS OVERLAP WITH DERMOSCOPIC FEATURES
IntroductionLichen planus pigmentosus inversus (LPPI) presents with brownish macules and patches in flexural regions and known as a rare variant of lichen planus pigmentosus (LPP) [1]. LPP is an uncommon variant of chronic lichen planus (LP) that is characterized by hyperpigmented, dark-brown macules in sunexposed areas especially in Indian patients [2]. In here, we present a case of classical LP and LPPI overlap in a man, with dermoscopic features.