Lichen planus may introduce in diverse structures in distinctive people. Certain variations react better to
treatment though others have a tendency to be more stubborn. Contingent upon the presentation of
the injuries (and their particular areas), after are the variations of lichen planus that have been depicted :
- Hypertrophic lichen planus (Lichen planus verrucosus) – thickened sores of lichen planus typically seen
on the limits, particularly the shin. It has a tendency to be extremely bothersome in nature.
- Atrophic lichen planus – an uncommon variation of lichen planus. It is described by plaques with focal
- Bullous or Vesiculobullous lichen planus – an alternate uncommon variation of lichen planus. Vesicles
and bullae (liquid filled injuries) are seen alongside the sores of lichen planus.
- Ulcerative lichen planus – is an uncommon variation of lichen planus. It shows with unending, terrible
bullae and ulceration of the sores.
- Follicular lichen planus (or Lichen planopilaris) – warmth of the hair follicles prompting scarring is
seen. There is male pattern baldness from the influenced parts.
- Lichen planus actinicus (Actinic lichen planus) – basic in Middle East nations in spring and summer.
Uncovered regions of the face, dorsum of hands, arms and scruff of the neck create dim, sores with
moved edges and overall characterized outskirts.
- Lichen planus pigmentosus – an alternate uncommon variation where dull tan spots create in sun-
uncovered territories and folds of the skin.
- Annular lichen planus – Commonly includes the male genitalia additionally has an inclination for folds
of the skin, for example, the axilla and crotch overlap and checked by little groups of sores.
- Linear lichen planus – injuries create along a straight line, generally on furthest points. May create
optional to trauma (Koebner’s sensation).
The understanding’s manifestations, therapeutic history and discoveries on examination are to a great
extent enough for the treating doctor to diagnose lichen planus. Yet, there may be cases in which the
early injuries take after those of psoriasis or atopic dermatitis (in skin friendship); leucoplakia or
candidiasis (in oral love), and so on. A punch biopsy may be needed in such cases to affirm the analysis
or to preclude an alternate condition. The skin biopsy is analyzed under a magnifying lens and the
obvious appearance of the injuries affirms the judgment.
In instances of oral lichen planus, with a specific end goal to recognize it from whitish precancerous
plaques called leukoplakia, a biopsy of the oral injuries might be extremely profitable.