Erythrodermic lichen planus.

Amy E Rose, Utpal Patel, Julie Chu, Rishi Patel, Shane Meehan, Jo-Ann M Latkowski

Journal: Dermatology online journal 2012;17(10):26

PMID: 22031652

Abstract

Lichen planus (LP) is a relatively common papulosquamous disorder that is characterized by pruritic, polygonal papules in a characteristic distribution. We present a case of a 71-year-old man with erythroderma, who was ultimately diagnosed with severe, generalized LP. Treatment of severe LP is challenging, and there are few, robust, clinical trials in the literature to guide the selection of appropriate treatment. We discuss the treatment options for generalized LP and the evidence in support of these agents.

Address: Department of Dermatology, New York University, New York, New York, USA.

MeSH Terms: Aged, Chills, Dermatitis, Exfoliative, Glucocorticoids, Humans, Immunologic Factors, Itraconazole, Leg Ulcer, Lichen Planus, Male, Metronidazole, PUVA Therapy, Pruritus, Randomized Controlled Trials as Topic, Retinoids, Staphylococcal Skin Infections, Thalidomide