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Case Report



Lichen planus mimicking Syphilis II papules – a case study

Deivam Subbaraya Gounder, Priyadharshini Subbaiah, Balasubramanian Narasimhan, Rajalakshmi Ramalingam, Seethalakshmi Rajanga Sekar, Lakshmi Priya Periyasamy, Prabhu Nagarajan.




Abstract

Lichen planus is a chronic mucocutaneous disease of immunological basis, and of unknown etiology. Women with oral lichen planus may have concomitant manifestations in vulvovaginal areas. A case of vaginal lichen planus is presented with special emphasis on its clinical and microscopic characteristics. Multiple violaceous flat papules over vagina and oral single violaceous plaque associated with mild discomfort was treated with methyl prednisolone and topical steroid. Nail lesions were treated with clonestasol propionate with salicylic acid, which resulted in a favourable outcome.

Key words: Lichen Planus; Vulvovaginitis; Topical Corticosteroids; Syphilis II






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