Lichen Planus Pigmentosus and Vitiligo in a 61-Year-Old Filipino Man: Case Report

AbstractPigmentary disorders have been implicated in causing psychosocial turmoil in patients as they can cause some degree of cosmetic disfigurement. Lichen planus pigmentosus (LPP) presents as ashy, dermatosis-like eruptions on sun-exposed areas, particularly on the head, neck, and earl...

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Main Authors: Maria Isabel Belizario, Julius Garcia Gatmaitan, Johannes Dayrit
Format: Article
Language:English
Published: JMIR Publications 2024-11-01
Series:JMIR Dermatology
Online Access:https://derma.jmir.org/2024/1/e50401
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author Maria Isabel Belizario
Julius Garcia Gatmaitan
Johannes Dayrit
author_facet Maria Isabel Belizario
Julius Garcia Gatmaitan
Johannes Dayrit
author_sort Maria Isabel Belizario
collection DOAJ
description AbstractPigmentary disorders have been implicated in causing psychosocial turmoil in patients as they can cause some degree of cosmetic disfigurement. Lichen planus pigmentosus (LPP) presents as ashy, dermatosis-like eruptions on sun-exposed areas, particularly on the head, neck, and earlobes. On the other hand, vitiligo is a chronic disorder that appears as depigmented patches on the skin. A 61-year-old man with Fitzpatrick skin phototype IV presented to us initially with LPP but eventually also developed vitiligo. The patient was treated with low-dose oral isotretinoin for LPP and topical tacrolimus 0.1% ointment for both LPP and vitiligo with a good clinical outcome. One case of segmental vitiligo and zosteriform LPP, affecting a 22-year-old Indian woman, has been previously reported in the English-language literature. An autoimmune etiology that causes melanocytorrhagy may be a plausible hypothesis for the coexistence of these 2 conditions.
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spelling doaj-art-22005f6917aa4067aa402cbb352465e82025-08-20T02:20:06ZengJMIR PublicationsJMIR Dermatology2562-09592024-11-017e50401e5040110.2196/50401Lichen Planus Pigmentosus and Vitiligo in a 61-Year-Old Filipino Man: Case ReportMaria Isabel Belizariohttp://orcid.org/0009-0005-8603-7393Julius Garcia Gatmaitanhttp://orcid.org/0000-0002-5419-554XJohannes Dayrithttp://orcid.org/0000-0001-7869-4573 AbstractPigmentary disorders have been implicated in causing psychosocial turmoil in patients as they can cause some degree of cosmetic disfigurement. Lichen planus pigmentosus (LPP) presents as ashy, dermatosis-like eruptions on sun-exposed areas, particularly on the head, neck, and earlobes. On the other hand, vitiligo is a chronic disorder that appears as depigmented patches on the skin. A 61-year-old man with Fitzpatrick skin phototype IV presented to us initially with LPP but eventually also developed vitiligo. The patient was treated with low-dose oral isotretinoin for LPP and topical tacrolimus 0.1% ointment for both LPP and vitiligo with a good clinical outcome. One case of segmental vitiligo and zosteriform LPP, affecting a 22-year-old Indian woman, has been previously reported in the English-language literature. An autoimmune etiology that causes melanocytorrhagy may be a plausible hypothesis for the coexistence of these 2 conditions.https://derma.jmir.org/2024/1/e50401
spellingShingle Maria Isabel Belizario
Julius Garcia Gatmaitan
Johannes Dayrit
Lichen Planus Pigmentosus and Vitiligo in a 61-Year-Old Filipino Man: Case Report
JMIR Dermatology
title Lichen Planus Pigmentosus and Vitiligo in a 61-Year-Old Filipino Man: Case Report
title_full Lichen Planus Pigmentosus and Vitiligo in a 61-Year-Old Filipino Man: Case Report
title_fullStr Lichen Planus Pigmentosus and Vitiligo in a 61-Year-Old Filipino Man: Case Report
title_full_unstemmed Lichen Planus Pigmentosus and Vitiligo in a 61-Year-Old Filipino Man: Case Report
title_short Lichen Planus Pigmentosus and Vitiligo in a 61-Year-Old Filipino Man: Case Report
title_sort lichen planus pigmentosus and vitiligo in a 61 year old filipino man case report
url https://derma.jmir.org/2024/1/e50401
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AT johannesdayrit lichenplanuspigmentosusandvitiligoina61yearoldfilipinomancasereport