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13.03.01 Dermatology clinic

Lichen planus
  • Unknown aetiology
    • Response to chemo / drugs?
  • Clinical features: 6 Ps
    • Pruritic
    • Planar
    • Purple
    • Polygonal
    • Papules
    • Plaques
  • Saw lady with it in her nails
    • Pterygium - Big vertical ridge
    • Dry / cracked / thin nails
    • Had been on chemo for Ca breast
    • Very hard to treat in nails
  • Check the mouth - other common site
  • Management
    • Topical steroids
    • Acitretin
    • PUVA
    • Immunosuppresssion


Roacutane

  • Side effects
    • Dry eyes
    • Cracked lips
  • Checks
    • LFTs + cholesterol (can raise)
    • Before and one month in






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