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Acitretin for Hypertrophic Lichen PlanusLike Reaction in a Burn Scar
Steven Kossard, FACD;
Phillip Artemi, FACD
From the Skin and Cancer Foundation Australia, Sydney.
Arch Dermatol. 2000;136:591-594.
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REPORT OF A CASE
A 60-year-old-man sustained a burn in childhood on the lower part of his right leg in a fire in a haystack. The area healed and remained as a stable scar for 50 years. Four months before presentation, he developed a series of hypertrophic papules and plaques measuring up to 12 cm in diameter localized to the burn scar (Figure 1). The individual lesions were violaceous and hyperkeratotic. There were no similar lesions at other skin sites or involvement of his mucous membranes. The patient was taking warfarin sodium and digoxin, and 2 months after the onset of his skin lesions, he began taking lisinopril for hypertension.
Figure appears in full text version.
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Figure 1. Right ankle demonstrating multiple hypertrophic lichenoid lesions within a burn scar.
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Over the following 5 months, 4 skin biopsy specimens were obtained from the most infiltrated areas. All 4 specimens showed an irregularly acanthotic . . . [Full Text of this Article]
DIAGNOSTIC CHALLENGE
THERAPEUTIC CHALLENGE
SOLUTION
COMMENT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Hypertrophic Lichen Planus-Like Reactions Combined With Infundibulocystic Hyperplasia: Pathway to Neoplasia
Kossard et al.
Arch Dermatol 2004;140:1262-1267.
ABSTRACT
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