Lichen Planus in Iraqi Patients (Clinical – Descriptive Study)

摘要

Background: lichen planus is an idiopathic inflammatory and immune mediated disease that effect skin, nail, hair and mucous membrane, mostly affect middle age people, with chronic course with relapses and periods of remissions. Objective: To assess various aspects about cutaneous LP in Iraqi patients. Its clinical subtypes and its correlations with mucosal, nail, scalp involvement, and gender, age distribution. Patients and methods: This observational study was carried out at the center of Dermatology and Venereology - Baghdad Teaching Hospital, from the first of April 2018 to the first of April 2019. 158 patients with cutaneous lichen planus were included in this study. Detailed history and thorough physical examination had been done for all patients. Results: The sample include 158 patients, there were 76 male and 82 female. The age ranged of males at presentation was from 7 to 70 years with a mean ± SD ═ 38.14 ±16.96, in females the age range at presentation between 17 to 65 with a mean ± SD ═ 45.06 ± 12.65. The disease duration ranged from two weeks to 5 years. the most common type was classical type (74%), the second was actinic type (10%). most common sites were lower limb, upper limb, face. Conclusions: Lichen planus is a disease of middle aged patients, 68% of patients were of the age group between 31 to 60 years. In classical type there is obvious female predominance, while in actinic type male predominate the picture. The most common site in Lichen planus pigmentosus are the axillae and groin. Oral involvement mostly seen in middle age female, most common type was the reticular and most common site was the buccul. Nail involvement mostly seen in young male, the most common type was 20 nail dystrophy, Follicular involvement mostly seen in male. Genital involvement mostly seen in women and mostly of reticular type.