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Year : 2020  |  Volume : 40  |  Issue : 2  |  Page : 124-129

A diagnostic conundrum: palmoplantar pits, lichen planus on histology lichen planus with a dermoscopic ‘Twist in the Tale’

1 Department of Dermatology, Rajawadi Hospital, Mumbai, Maharashtra, India
2 Department of Dermatology, Sion Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Tejas Vishwanath
Department of Dermatology, Rajiv Gandhi Medical College and Chhatrapati Shivaji Maharaj Hospital, Kalwa, Thane 400605, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ejdv.ejdv_43_19

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A plethora of dermatologic conditions manifest as palmoplantar pits ranging from the relatively innocuous conditions like lichen planus, lichen nitidus, and keratosis punctata to more sinister ones like Cowden syndrome and Gorlin syndrome. Diagnosis generally depends on cutaneous and/or mucosal lesions. However, the occasional patient is encountered who does not manifest any other cutaneous features. In such cases, the diagnosis can only be reached by histopathology. We present two cases of isolated palmoplantar pits diagnosed as lichen planus on histopathology with intriguing dermoscopic findings in one case.

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