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38 yr male c/o papules over both hands with itching since 4 to 5 years. Diagnosis?

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D/d hypertrophied linchen planus 2 keloids

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? LPH

D/d hypertrophied linchen planus 2 keloids

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Lichen planus hypertrophicus

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Lichen planus hypertrophic

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Hypertrophic lichen planus

LPH

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Hypertrophic lichen planus (HLP) .. Classically involves shin and ankles and is characterized by hyperkeratotic plaques and nodules.  Hypertrophic lichen planus (HLP) is the second most common cutaneous variant of lichen planus. It is characterized as extremely pruritic, and thick hyperkeratotic plaques are seen primarily on the shins or dorsal aspect of the foot and may be covered by a fine adherent scale.

Hypertropic lichen planus Topical halobetasol regular Wysolone5 bd Antihistamine Multivitamins Continue for 6 months after that slowly tapper

?Prurigo nodular is Lichen planus hypertrophic is Tab prednisolone 20 mg HS tapping off over 4 months Mometasone ointment locally

@ hypertrophic lichen planus

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