Diagnosis: Lichen planus actinicus
Description: Hyperpigmented rash.
Morphology: Hyperpigmentation
Site: Hand,dorsum
Sex: F
Age: 45
Type: Clinical
Submitted By: Nameer Al-Sudany
Differential DiagnosisHistory:
A middle-aged woman has suffered a slightly pruritic but cosmetically annoying hyperpigmented slightly scaly rash confined to photosensitive areas of the face and dorsa of the hands of two years duration. The rash is persistent through out the year but usually exacerbates during spring and early summer. The color of the rash was characteristically purplish on the face and shiny dark violaceous on the hands.