Clinico - Histopathological features of Lichen Planus-an Appraisal

Year : 2016 | Volume : 4 | Issue : 2 Page : 34 - 38

Raghavendra B N¹, Jaffer Basha S K²

¹Associate Professor, Department of Dermatology, M V J Medical College and Research Hospital, Hoskote, Bengaluru
²Assistant Professor in Department of Dermatology, Shadaan Institute of Medical Sciences Peeranchuvuru, Hyderabad

Address for correspondence: Dr.Raghavendra B N,Associate Professor, Department of Dermatology,M V J Medical College and Research Hospital,Hoskote,Bengaluru.

Email: raghavderm@gmail.com

Abstract

Background:Lichen planus is a common, chronic, papulosquamous disorder of obscure etiology. Though many etiological factors have been incriminated, autoimmunity has been increasingly accepted as the most likely etiology.

Objective: To study the clinical and histopathological features of lichen planus and to assess the extent of correlation.

Material and Methods: 100 patients of lichen planus who consented were enrolled in this observational study by random selection. A detailed history, general physical examination and dermatological examination was done and recorded in a proforma. A 4mm punch biopsy was obtained in all study subjects and was sent for histopathological examination.

Results: Classical lichen planus was the most common morphological type observed in this study (44%), followed by hypertrophic lichen planus (12%). A clinico-histopathological correlation of 96% was observed in the study.

Conclusion: A high degree of clinico-histopathological correlation increases the sensitivity of diagnosis and helps in effective therapy.

Keywords :Autoimmunity, Lichen planus, Melanin incontinence