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