To the Editor: Idiopathic lichen planus is a pruritic papulosquamouseruption that typically occurs in middle-aged persons. The estimatedprevalence of this disorder is less than 1 percent, and itscause is unclear.1 Drug-induced lichen planus has been reportedafter the administration of numerous medications, includinggold-containing compounds.1,2 Gold-induced skin reactions mayappear at any time during treatment. They generally resolvewithin three to four months after cessation of the drug butmay persist longer.3,4
A 24-year-old man presented with a cutaneous eruption that wasclinically consistent with lichen planus. He had discrete pruritic,violaceous, planar papules on the forearms, . . . [Full Text of this Article]