Hypertrophic lichen planus on lip mimicking SCC

Abstract The lichen planus (LP) is an inflammatory and immune‐mediated disorder that can affect the hair, mucous membranes, nails, and skin. Lichen planus rarely affects the lips. In cases of lip involvement, it presents as radiated streaks, lace‐like papules, and erosions. There is no report of lip...

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Main Authors: Nikoo Mozafari, Farahnaz Bidari‐Zerehpoosh, Mahdiyeh Movahedi, Sahar Dadkhahfar
Format: Article
Language:English
Published: Wiley 2022-08-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.6191
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author Nikoo Mozafari
Farahnaz Bidari‐Zerehpoosh
Mahdiyeh Movahedi
Sahar Dadkhahfar
author_facet Nikoo Mozafari
Farahnaz Bidari‐Zerehpoosh
Mahdiyeh Movahedi
Sahar Dadkhahfar
author_sort Nikoo Mozafari
collection DOAJ
description Abstract The lichen planus (LP) is an inflammatory and immune‐mediated disorder that can affect the hair, mucous membranes, nails, and skin. Lichen planus rarely affects the lips. In cases of lip involvement, it presents as radiated streaks, lace‐like papules, and erosions. There is no report of lip LP presenting as hypertrophic plaque. Here, we report interesting and rare clinical presentations of LP in a 45‐year‐old male patient that presented with a verrucous hyperkeratotic plaque on the lower lip mimicking squamous cell carcinoma. However, oral examination revealed, reticulated white patches on the bilateral buccal mucosa, and a biopsy of the lip lesion revealed lichenoid dermatitis which led to the diagnosis of hypertrophic lichen planus. Familiarity with the different clinical presentations of LP and its variants is essential for prompt diagnosis and effective treatment.
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spelling doaj.art-05103f7a885d4a3c8c26215ee49697d72022-12-22T01:38:38ZengWileyClinical Case Reports2050-09042022-08-01108n/an/a10.1002/ccr3.6191Hypertrophic lichen planus on lip mimicking SCCNikoo Mozafari0Farahnaz Bidari‐Zerehpoosh1Mahdiyeh Movahedi2Sahar Dadkhahfar3Skin Research Center Shahid Beheshti University of Medical Sciences Tehran IranDepartment of Pathology, Loghman Teaching Center, School of Medicine Shahid Beheshti University of Medical Sciences Tehran IranSchool of Medicine Shahid Beheshti University of Medical Sciences Tehran IranSkin Research Center Shahid Beheshti University of Medical Sciences Tehran IranAbstract The lichen planus (LP) is an inflammatory and immune‐mediated disorder that can affect the hair, mucous membranes, nails, and skin. Lichen planus rarely affects the lips. In cases of lip involvement, it presents as radiated streaks, lace‐like papules, and erosions. There is no report of lip LP presenting as hypertrophic plaque. Here, we report interesting and rare clinical presentations of LP in a 45‐year‐old male patient that presented with a verrucous hyperkeratotic plaque on the lower lip mimicking squamous cell carcinoma. However, oral examination revealed, reticulated white patches on the bilateral buccal mucosa, and a biopsy of the lip lesion revealed lichenoid dermatitis which led to the diagnosis of hypertrophic lichen planus. Familiarity with the different clinical presentations of LP and its variants is essential for prompt diagnosis and effective treatment.https://doi.org/10.1002/ccr3.6191hypertrophiclichen planuslipsquamous cell carcinoma
spellingShingle Nikoo Mozafari
Farahnaz Bidari‐Zerehpoosh
Mahdiyeh Movahedi
Sahar Dadkhahfar
Hypertrophic lichen planus on lip mimicking SCC
Clinical Case Reports
hypertrophic
lichen planus
lip
squamous cell carcinoma
title Hypertrophic lichen planus on lip mimicking SCC
title_full Hypertrophic lichen planus on lip mimicking SCC
title_fullStr Hypertrophic lichen planus on lip mimicking SCC
title_full_unstemmed Hypertrophic lichen planus on lip mimicking SCC
title_short Hypertrophic lichen planus on lip mimicking SCC
title_sort hypertrophic lichen planus on lip mimicking scc
topic hypertrophic
lichen planus
lip
squamous cell carcinoma
url https://doi.org/10.1002/ccr3.6191
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AT mahdiyehmovahedi hypertrophiclichenplanusonlipmimickingscc
AT sahardadkhahfar hypertrophiclichenplanusonlipmimickingscc