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Eyal Peretz, MD; Marcelo H. Grunwald, MD; Sima Halevy, MD
Soroka Medical Centre, Ben-Gurion University of the Negev, Beer-Sheva, Israel

Arch Dermatol. 1999;135:1543-1548.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 19-year-old Israeli man of Iranian origin presented with a 2-month history of a slowly enlarging lesion on his left cheek. His medical history was unremarkable. Examination revealed a single, round, 1.5-cm-diameter plaque with a depressed brownish center and an erythematous elevated border (Figure 1). The results of routine blood tests and urinalysis were within normal limits. A biopsy specimen was obtained (Figure 2).

Figure 1.

Figure 2.

What is your diagnosis?

Diagnosis: Actinic lichen planus (ALP).

Microscopic examination of the biopsy specimen revealed thinning of the epidermis, hypergranulosis, and vacuolar degeneration of the basal cell layer. A bandlike lymphohistiocytic infiltrate was present in the upper dermis.

The patient was treated with a medium-potency topical corticosteroid and instructed to avoid sun exposure. The lesion resolved within 2 months, leaving a slightly depressed hyperpigmented area.

Actinic lichen planus is also known as . . . [Full Text of this Article]

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