case_images: PMC11133675_01
case_images: Hypertrophic lichen planus: (A) Initial presentation with scaly pink papules and plaques on the exam in patient 1. (B) Patient 1 in the midst of treatment with clobetasol, cephalexin, PDT under heated occlusion, and a course of tazarotene, resulting in, (C) complete clearance.
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case_images: PMC11133675_01_fmed-11-1342501-g001.jpg
case_images: fig1
case_images: Soon after, the patient noticed the development of new lesions on her bilateral upper and lower extremities, back, and upper chest (Figure 1A).
case_images: PMC11133675_02
case_images: Hypertrophic lichen planus: (A,B) Initial presentation with scaly pink papules and plaques on exam in patient 2. (C,D) Patient 2 in the midst of treatment with acitretin, clobetasol, tretinoin, shave removal, and cryotherapy with overall good improvement on follow-up.
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case_images: Her right posterior leg also had a large linear plaque studded with hyperkeratotic papules (Figures 2A,B). The patient was treated with acitretin 20 mg daily, clobetasol 0.05% cream every morning, and tretinoin 0.1% cream every night, along with shave removal of a 2.3 cm lesion on the right posterior thigh and cryotherapy of several hyperkeratotic lesions (Figure 2C). The patient returned for a follow-up appointment 6 months later, exhibiting overall good improvement (Figure 2D).
case_images: PMC11133675_03