Bullous Lichen Planus Treated with Adalimumab: A Case Report

Introduction: Bullous lichen planus is a rare variant of lichen planus that is characterized by vesiculobullous lesions developing in the setting of preexisting LP lesions with a burning and painful feeling. Bullous lichen planus treatment is difficult since so few examples of the conditi...

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Main Authors: Bashayr S. Alhubayshi, Abdulaziz A. Alnoshan, Ahmed A. AlHumidi, Asem Shadid
Format: Article
Language:English
Published: Karger Publishers 2025-01-01
Series:Case Reports in Dermatology
Online Access:https://karger.com/article/doi/10.1159/000543523
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author Bashayr S. Alhubayshi
Abdulaziz A. Alnoshan
Ahmed A. AlHumidi
Asem Shadid
author_facet Bashayr S. Alhubayshi
Abdulaziz A. Alnoshan
Ahmed A. AlHumidi
Asem Shadid
author_sort Bashayr S. Alhubayshi
collection DOAJ
description Introduction: Bullous lichen planus is a rare variant of lichen planus that is characterized by vesiculobullous lesions developing in the setting of preexisting LP lesions with a burning and painful feeling. Bullous lichen planus treatment is difficult since so few examples of the condition have been documented in the literature. Case Presentation: A 46-year-old female presented to our outpatient clinic with pruritic violaceous bullae involving lower extremities and oral mucosa for 8 years. After extensive investigations, a diagnosis of bullous lichen planus was made and successfully treated with adalimumab after failure of other treatment options. Conclusion: Adalimumab may represent a promising, efficacious, and safe monotherapy option for the management of bullous lichen planus. The therapeutic value of this novel off-label use should be assessed in controlled clinical trials.
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institution Kabale University
issn 1662-6567
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publishDate 2025-01-01
publisher Karger Publishers
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series Case Reports in Dermatology
spelling doaj-art-a64e7fe4efd44713b2ef864fe654eff52025-08-20T03:49:42ZengKarger PublishersCase Reports in Dermatology1662-65672025-01-01171424710.1159/000543523Bullous Lichen Planus Treated with Adalimumab: A Case ReportBashayr S. AlhubayshiAbdulaziz A. AlnoshanAhmed A. AlHumidiAsem Shadid Introduction: Bullous lichen planus is a rare variant of lichen planus that is characterized by vesiculobullous lesions developing in the setting of preexisting LP lesions with a burning and painful feeling. Bullous lichen planus treatment is difficult since so few examples of the condition have been documented in the literature. Case Presentation: A 46-year-old female presented to our outpatient clinic with pruritic violaceous bullae involving lower extremities and oral mucosa for 8 years. After extensive investigations, a diagnosis of bullous lichen planus was made and successfully treated with adalimumab after failure of other treatment options. Conclusion: Adalimumab may represent a promising, efficacious, and safe monotherapy option for the management of bullous lichen planus. The therapeutic value of this novel off-label use should be assessed in controlled clinical trials. https://karger.com/article/doi/10.1159/000543523
spellingShingle Bashayr S. Alhubayshi
Abdulaziz A. Alnoshan
Ahmed A. AlHumidi
Asem Shadid
Bullous Lichen Planus Treated with Adalimumab: A Case Report
Case Reports in Dermatology
title Bullous Lichen Planus Treated with Adalimumab: A Case Report
title_full Bullous Lichen Planus Treated with Adalimumab: A Case Report
title_fullStr Bullous Lichen Planus Treated with Adalimumab: A Case Report
title_full_unstemmed Bullous Lichen Planus Treated with Adalimumab: A Case Report
title_short Bullous Lichen Planus Treated with Adalimumab: A Case Report
title_sort bullous lichen planus treated with adalimumab a case report
url https://karger.com/article/doi/10.1159/000543523
work_keys_str_mv AT bashayrsalhubayshi bullouslichenplanustreatedwithadalimumabacasereport
AT abdulazizaalnoshan bullouslichenplanustreatedwithadalimumabacasereport
AT ahmedaalhumidi bullouslichenplanustreatedwithadalimumabacasereport
AT asemshadid bullouslichenplanustreatedwithadalimumabacasereport