Review Article

Cutaneous and Mucosal Lichen Planus: A Comprehensive Review of Clinical Subtypes, Risk Factors, Diagnosis, and Prognosis

Table 2

LP differential diagnosis.

CLP

Papular classic Psoriasis, chronic cutaneous lupus erythematosus, lichen simplex chronicus, graft-versus-host disease, secondary syphilis, pityriasis rosea, lichenoid mycosis fungoides
Annular Granuloma annulare, tinea
Linear Lichen striatus, inflammatory linear verrucous epidermal nevus (ILVEN), linear psoriasis, linear Darier-White disease, nevus unius lateris
Hypertrophic Psoriasis, prurigo nodularis, lichenoid cutaneous amyloidosis, Kaposi sarcoma, lichen simplex chronicus, stasis dermatitis
Vesiculobullous Lichen planus pemphigoides, bullous pemphigoid, pemphigus vulgaris
LP pigmentosusAshy dermatosis
Atrophic Lichen sclerosus et atrophicus, lupus, ashy dermatosis
GeneralizedLichen nitidus, drug eruptions, guttate psoriasis, viral exanthems

LP of skin appendages

Follicular CLP (LPP)Lichen spinulosus
LPP induced cicatricial alopeciaPseudopelade of Brocq, follicular degeneration syndrome, androgenetic alopecia, chronic cutaneous lupus erythematosus
Nail CLPBrittle nails, lichen striatus, graft versus host disease, systemic amyloidosis, trauma, dyskeratosis congenital
Idiopathic atrophy of nailsHereditary anonychia, impaired peripheral circulation, epidermolysis bullosa
TrachyonychiaAlopecia areata and psoriasis
Toenail LPYellow nail syndrome
Erosive nail LPBlistering disease nail involvement

Mucosal LP

OLPLeukoplakia, candidiasis, erythema multiforme, pemphigus vulgaris, bullous pemphigoid, lichen sclerosus, secondary syphilis, bite trauma, lichen sclerosus et atrophicus, lupus, ashy dermatosis
Vulvar LPLichen sclerosis, valvovaginal blistering diseases

CLP: cutaneous lichen planus, LP: lichen planus, LPP: lichen planopilaris, OLP: oral lichen planus.