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Dermatology Intensely pruritic shiny, flat topped, violaceous, polygonal papules

Intensely pruritic shiny, flat topped, violaceous, polygonal papules

image

intensely pruritic shiny, flat topped, violaceous, polygonal papules that are usually seen on the flexural surfaces of the wrists, arms and legs

Other affected sites include:

  • trunk and thighs
  • mucous membranes are often affected e.g. - buccal mucosa, female genitalia
  • penis - mostly annular lesions
  • scalp - will lead to scarring if untreated.
  • nails

 

  1. what's your Definitive Dx ?
  2. Discuss the management of this patient ?
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