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12.11.2024 | review

Lichen planus—the role of age and gender in clinical appearance and treatment

A narrative review

verfasst von: Prof. Dr. Uwe Wollina, André Koch, Monika Fida, Anca Chiriac, Abdulkarim Hasan, Ayman Abdelmaksoud

Erschienen in: Wiener Medizinische Wochenschrift

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Summary

Lichen planus is a common pruritic inflammatory disorder of the skin with an autoimmune background. It affects < 1% of the general population. The disease has significant comorbidities that must be considered in a holistic approach. Skin and skin adnexa, mucosa, eyes, and the esophagus may be affected. There are various clinical subtypes in addition to classical cutaneous lichen planus. These subtypes depend on age and gender. Nail involvement can result in functional and psychological impairment. Lichen planopilaris in adults leads to irreversible cicatrical alopecia. Erosive and ulcerated lichen planus of the mucosa carries an increased risk of malignant transformation, at least in adults. Treatment must consider the affected area, the severity of disease, age, gender, and comorbidities.
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Metadaten
Titel
Lichen planus—the role of age and gender in clinical appearance and treatment
A narrative review
verfasst von
Prof. Dr. Uwe Wollina
André Koch
Monika Fida
Anca Chiriac
Abdulkarim Hasan
Ayman Abdelmaksoud
Publikationsdatum
12.11.2024
Verlag
Springer Vienna
Erschienen in
Wiener Medizinische Wochenschrift
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI
https://doi.org/10.1007/s10354-024-01057-5