Lichen Planus – Keratosis Lichenoides Chronica

Keratosis Lichenoides Chronica is a rare skin condition that I occasionally encounter in my The Woodlands dermatology and Conroe dermatology offices.  Keratosis Lichenoides Chronica occurs in childhood and may be seen soon after birth.  Clinically, patients have keratotic papules with a prominent keratotic plug and scaling, which may be seen in a background of telangiectasias.  Some patients with Keratosis Lichenoides Chronica may have a facial rash resembling rosacea/seborrhea and hyperkeratotic palms and soles.  Nail dystrophy and oral ulcers may also be seen in patients with this skin disease.  Keratosis Lichenoides Chronica is very difficult to treat and is resistant to topical and systemic steroids but may respond to light therapy and oral retinoids.