Lichen planus palmoplantaris L43.8

Variant or (usually) partial manifestation of lichen ruber affecting the palms and/or soles. Clinically, the lesions are usually flat, coarse, yellowish, papulokeratotic or nodular foci. Solitary involvement of the palms and/or soles is rare.

Palmoplantar lichen ruber is characterized by particular chronicity and by spontaneous or stress-induced painfulness. The clinical picture is characterized by extensive inflammatory hyperkeratotic plaques limited to the inguinal skin regions. Rhagade formation is a common complication.

Callous reactive hyperkeratoses, calluses, palmo-plantar psoriasis, palmo-plantar localized verrucae vulgares, hereditary palmoplantar keratoses, hyperkeratotic rhagadiform hand dermatitis and others.

External therapy with highly potent glucocorticoids such as 0.1% mometasone (e.g. Ecural ointment), if necessary under occlusion. If external therapy is not sufficient, graded systemic therapy according to the lichen ruber.