Lichen with triple involvement: cutaneous, mucous and phanerian
Mohamed El Amraoui, Badredine Hassam
The Pan African Medical Journal. ;31:12. doi:10.11604/pamj..31.12.16510

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Images in clinical medicine

Lichen with triple involvement: cutaneous, mucous and phanerian

Mohamed El Amraoui, Badredine Hassam
Pan Afr Med J. 2018; 31:12. doi:10.11604/pamj.2018.31.12.16510. Published 04 Sep 2018



Lichen is a common chronic inflammatory dermatitis that can affect the skin, mucous membranes and phaneres. The simultaneous involvement of the three compartments is rare and testifies to the severity and activity of the disease. We present a case of this triple involvement. However, the complete muco-cutaneous and phanerienic forms are rare, testify to the severity of the disease and justify a systemic treatment and a regular and long-term monitoring view the risk of degeneration of the mucous lesions. We report the case of this 60-old-man, followed for papular dermatosis, hyperpigmentary, very itchy, generalized, with involvement of the genital mucosa, in the form of erosive balanitis and nails of the hands and feet. The cutaneous histology was in favor of lichen. The biological examinations did not show any dysthyroidism, liver or autoimmune diseases. The patient was placed on systemic and topical corticosteroids. A pigmentogenic evolution of the cutaneous lesions, a beginning of bleaching of the nail lesions and a resistance of the genital lesions were noted.


Corresponding author:
Mohamed El amraoui, Dermatology Department, Avicenna Hospital, Ibn Sina University Hospital, Rabat, Maroc
med.elamraoui.dro@gmail.com

©Mohamed El Amraoui et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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