PMC6642783_01
Photograph of lichen planus lesions on the patient's feet.
CRIDM2019-4065437.001.jpg
PMC6642783_01_CRIDM2019-4065437.001.jpg
fig1
She improved within the next week but still had persistent maculopapular lesions on her feet (Figure 1) and then a punch biopsy of a left thigh lesion showed a diagnosis of palmoplantar lichen planus reaction (Figure 2).
Skin biopsy shows a lichenoid lymphocytic infiltrate with acanthosis, hyperkeratosis, hypergranulosis, and civatte bodies (apoptotic basal keratinocytes).
CRIDM2019-4065437.002.jpg
PMC6642783_01_CRIDM2019-4065437.002.jpg
fig2
She improved within the next week but still had persistent maculopapular lesions on her feet (Figure 1) and then a punch biopsy of a left thigh lesion showed a diagnosis of palmoplantar lichen planus reaction (Figure 2).