Lichen Planus – Hypertrophic Lichen Planus

Hypertrophic Lichen Planus is most commonly found on the shins of affected patients and I occasionally encounter this version in my The Woodlands dermatology and Conroe dermatology offices.  Clinically, Hypertrophic Lichen Planus lesions appear like warty plaques with lichenoid papules seen on the periphery.  Hypertrophic Lichen Planus can be very difficult to distinguish from Hypertrophic Cutaneous Lupus Erythematous both clinically and histologically.  Hypertrophic Lichen Planus is very recalcitrant to treatment and can be a very chronic form of Lichen Planus.