Lichen planus pigmentosus

Lichen planus (LP) pigmentosus is a rare variant of cutaneous lichen planus (see this term) characterized by the presence of hyperpigmented lichenoid lesions in sun-exposed or flexural areas of the body.

Hyperkeratosis

Hyperkeratosis is thickening of the outer layer of the skin, the stratum corneum, which is composed of large, polyhedral, plate-like envelopes filled with keratin which are the dead cells that have migrated up from the stratum granulosum.


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PMID (PMCID)
20883365
FEMALE
Diltiazem-associated photodistributed hyperpigmentation: report of two Japanese cases and published work review.
Kubo Y, Fukumoto D, Ishigami T, Hida Y, Arase S.
J Dermatol. 2010;37(9):807-11.
Although the clinical and histological features were similar to those of lichen planus pigmentosus, the histological features did not show either compact hyperkeratosis or wedge-shaped hypergranulosis, which are typical histological features of lichen planus.