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Lichen Planus-like Lesions Caused by Penicillamine in Primary Biliary Cirrhosis
James R. Seehafer, MD;
Roy S. Rogers III, MD;
C. Richard Fleming, MD;
E. Rolland Dickson, MD
Arch Dermatol. 1981;117(3):140-142.
Abstract
• Six patients with primary biliary cirrhosis experienced lichen planus-like lesions while taking penicillamine. Oral lesions developed in all patients, and the lichenoid lesions also appeared elsewhere in two patients. Lichen planus-like lesions developed from four to 16 months after penicillamine therapy had been started, and, in four cases, they resolved in one to three months after use of the drug was stopped. Two patients have continued using penicillamine despite adverse cutaneous and mucosal reactions and have continued to experience lichen planus-like lesions intermittently. Other cutaneous reactions associated with penicillamine are reviewed.
(Arch Dermatol 1981;117:140-142)
Author Affiliations
From the Department of Dermatology (Drs Seehafer and Rogers) and the Division of Gastroenterology and Internal Medicine (Drs Fleming and Dickson), Mayo Clinic and Mayo Foundation, Rochester, Minn.
Footnotes
Accepted for publication Aug 29, 1980.
Reprint requests to Section of Publications, Mayo Clinic, 200 First St SW, Rochester, MN 55901 (Dr Seehafer).
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