Disease Information for Erosive lichen planus

Clinical Manifestations
Signs & Symptoms
Bulla/bullous rash
Centrally clearing scaly patch/skin
Cicatrical alopecia
Hair loss
Isomorphic Skin Trauma Response
Koebner phenomenon/post-mechanical stimulation/rash lesion
Non-pruritic rash
Non-scarring Alopecia/balding
Pruritis Itching
Rash with well demarcated lesions
Spoon nails/soft/translucent
Vesicobullous rashes
Genital Erosions
Penis Rash
Penis ulcer/lesion
Oral lesion/ulcer
Oral Ulcers in Elderly
Stomatitis Blisters/blebs
Genital lesions, female/Signs
Vaginal Discharge in Prepubertal Girl
Vulva Erosions
Associated Diseases & Rule outs
Rule Outs
Granuloma annulare
Associated Disease & Complications
Alopecia areata
Bullous Stomatitis
Dermatitis/Chronic rash
Lichen planus
Scarring alopecia
Vulvovaginitis/girl (prepubescent)
Lichenoid Dermatitis
Lichenoid Mucositis
Disease Mechanism & Classification
CLASS/Dermatologic/Subcutaneous (category)
Pathophysiology/Variable course subsets/severe/mild
PROCESS/Disease with many subtypes (ex)
PROCESS/Reference organ/system (category)
Erosive lichen planus, Synonym/Lichen Planus Erosive Var.

erosive lichen planus; Lichen planus is an inflammatory mucocutaneous condition with characteristic violaceous polygonal flat-topped papules and plaques; Pruritus is often severe; Skin lesions may be disfiguring, and involvement of the oral mucosa or genital mucosa in severe cases may be debilitating; Oral lichen planus may predispose to the development of squamous cell carcinoma within lesions; Involvement of the scalp and the nails may also occur; While most cases of lichen planus are idiopathic, some may be caused by the ingestion of certain medications (eg, gold, antimalarial agents, penicillamine, thiazide diuretics, beta blockers, nonsteroidal anti-inflammatory drugs, quinidine and angiotensin-converting enzyme inhibitors) or linked to hepatitis C virus infection; Patients with localized lichen planus are usually treated with potent topical steroids, while systemic steroids are used to treat patients with generalized lichen planus-------(Am Fam Physician 2000;61:3319-24,3327-8)-----------It most commonly affects middle-aged adults of both sexes, with a slight predominance in women; The classic appearance of skin lesions includes violaceous polygonal flat-topped papules and plaques; Close examination reveals a reticulated pattern of white scale known as Wickham"s striae; Early cutaneous lesions may be difficult to diagnose, often appearing as scattered erythematous papules; more developed and extensive lesions may mimic discoid lupus, psoriasis or secondary syphilis; The flexor surfaces of the extremities, particularly the wrists, are common locations for lichen planus


External Links Related to Erosive lichen planus
PubMed (National Library of Medicine)
NGC (National Guideline Clearinghouse)
Medscape (eMedicine)
Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)