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Diagnosis: Lichen planus actinicus
Description: Brownish patches in photosensitive distribution.
Morphology: Hyperpigmentation
Site: Face
Sex: F
Age: 60
Type: Clinical
Submitted By: Nameer Al-Sudany
Differential DiagnosisHistory: A 60-year-old woman presented with an asymptomatic, cosmetically bothering, brown-blackish macules and patches involving the face and dorsal surface of hands (photo-exposed sites) of many months duration. Actinic Lichen planus may present clinically in different patterns, one of these patterns is lichen pigmentosus-like as in this case.