Unilateral lichen planus pigmentosus mimicking acral lentiginous melanoma
Bickle, K.; Smithberger, E.; Lien, M.H.; Fenske, N.A.
Journal of Drugs in Dermatology Jdd 9(7): 841-843
2010
ISSN/ISBN: 1545-9616 PMID: 20677541 Document Number: 15913
The authors report a case of a Latin American woman who developed progressive pigmentation primarily involving two digits of her right hand. She was scheduled for amputation based on a presumptive histologic diagnosis of melanoma with regression. Dermatology consultation with repeat biopsies disclosed a lichenoid tissue reaction with marked pigment incontinence and no evidence of melanoma. This report should prompt physicians to include lichen planus pigmentosus in the differential diagnosis of acral lentiginous melanoma.
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