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Actinic lichen nitidus

A variant of lichen nitidus triggered by sun exposure, with tiny, shiny papules in sun-exposed areas.

Actinic lichen planus

A variant of lichen planus in sun-exposed areas, often presenting as annular plaques with a hyperpigmented center.

Annular lichen planus

Presents as classic violaceous, flat-topped papules that have arranged themselves into a ring-like shape, often with central clearing.

Bowenoid papulosis

An HPV-induced condition with multiple reddish-brown or violaceous papules on the genitalia that are histologically a form of squamous cell carcinoma in situ.

Bullous lichen planus

A rare variant where tense bullae arise directly on pre-existing violaceous, flat-topped papules and plaques of lichen planus.

Gianotti Crosti syndrome

A self-limited childhood rash, often post-viral, with monomorphic, flat-topped, pink-brown papules symmetrically on the face, buttocks, and extremities.

Graft versus host disease

The chronic form often presents as a widespread eruption of violaceous papules and plaques that are clinically and histologically indistinguishable from lichen planus.

Hypertrophic lichen planus

Presents as extremely itchy, thick, hyperkeratotic, violaceous plaques and nodules, most commonly on the shins.

Keratosis lichenoides chronica

A rare condition with violaceous, lichenoid papules arranged in a distinctive linear or reticular pattern.

Lichen amyloidosis

A form of primary cutaneous amyloidosis with intensely pruritic, hyperkeratotic papules that coalesce into thickened, brownish, rippled plaques on the shins.

Lichen nititus

Presents as an eruption of myriad, tiny (pinpoint-sized), shiny, flat-topped, skin-colored papules, often on the trunk, genitals, and arms.

Lichen planus

The classic prototype, characterized by pruritic, purple, polygonal, planar papules and plaques, often with fine white lines (Wickham's striae).

Lichen planus pemphigoides

A rare condition where tense bullae arise not only on lichen planus lesions but also on normal-appearing skin.

Lichen simplex chronicus

A localized, well-demarcated, thickened (lichenified) plaque with exaggerated skin markings, caused by chronic rubbing, not a primary papular eruption.

Lichenoid actinic keratosis

A variant of actinic keratosis that is clinically inflamed and erythematous, and histologically shows a dense lichenoid infiltrate.

Lichenoid drug reaction

An eruption that clinically mimics lichen planus but is often more widespread, more eczematous, and appears weeks to months after starting a new medication.

Linear lichen planus

Lichen planus papules that are arranged in a linear configuration, often following a scratch (Koebner phenomenon) or Blaschko's lines.

Sarcoidosis

Can present as crops of small, reddish-brown or violaceous, translucent-appearing papules, often on the face, which are granulomatous, not truly lichenoid.

Viral wart

Verruca plana (flat warts) are multiple, small, skin-colored or pink, flat-topped papules, but are caused by HPV and lack lichenoid features.

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