Article Text

PDF
P2.31 Annular lichen planus on penis treated with topical pimecrolimus 1%
  1. Natasatsekova1,
  2. I Krasnaliev2,
  3. I Bakardjiev2,
  4. L Miteva1,
  5. G Pehlivanov1
  1. 1Medical University, Department of Dermatovenereology, Sofia – Bulgaria
  2. 2Medical University, Department of Dermatovenereology, Varna – Bulgaria

Abstract

Introduction Lichen planus (LP) is an idiopathic inflammatory disease of the skin and mucous membranes. Classical LP is characterised by pruritic, violaceous papules that favour the extremities. Annular lichen planus (ALP) is a long-recognised clinical variant of lichen planus, but is often considered uncommon in occurrence. ALP commonly involves the male genitalia but also has a predilection for intertriginous areas such as the axilla and groin folds. Distal aspects of the extremities, and less commonly the trunk, may also be involved.

Methods We report the case of 38 year-old uncircumcised male patient who addressed our clinic for multiple asymptomatic annular lesions on the glans penis and corpus penis and whitish linear bilateral and symmetric lines on buccal mucosa with 2 years duration. During this period the patient was treated several times with antifungal and corticosteroid drugs without improvement.

Results Diagnosis was based on clinical features and histological examination. The patient was treated with topical pimecrolimus 1% with significant improvement after 3 weeks.

Conclusion This description highlights the importance of patients presenting annular lesion on penis be routinely required to undergo further medical examination for Canddida spec., Sexually transmitted infections and if is necessary to perform the biopsy because the exact diagnosis is basis for proper treatment.

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.