A 47-year-old lady arrives at the office complaining of an itching rash. She has experienced a slow development of several pruritic lesions at her wrists, legs, and ankles for the previous three months. The patient attempted to treat the lesions using emollients and over-the-counter hydrocortisone but had no alleviation. As seen in the exhibit, examination reveals scattered, scaly, pink papules and plaques. Which of the following is the most likely diagnosis?

Question

A 47-year-old lady arrives at the office complaining of an itching rash. She has experienced a slow development of several pruritic lesions at her wrists, legs, and ankles for the previous three months. The patient attempted to treat the lesions using emollients and over-the-counter hydrocortisone but had no alleviation. As seen in the exhibit, examination reveals scattered, scaly, pink papules and plaques.   Which of the following is the most likely diagnosis?

Quizplus · Accepted Answer

Eductional Objective: Lichen planus is an immune-mediated disorder characterized by pruritic, pink papules and plaques, which are sometimes accompanied by lacy, scaly, white patterns (Wickham striae). The lesions most commonly affect the flexural surfaces of the wrists and ankles, although they can also affect the nails, oral mucous membranes, and genitalia.

A 47-Year-Old Lady Arrives at the Office Complaining of an Itching