Isolated Penile Lichen Planus in an HIV-Positive Patient
DOI:
https://doi.org/10.5281/hra.v2i3.5418Keywords:
lichen planus, penis, isolated, HIVAbstract
ABSTRACT
Le lichen plan (LP) est une maladie inflammatoire chronique cutanéomuqueuse dont les facteurs étiopathogéniques sont incertains. Il est rare dans la population générale et présente une multitude d’expressions cliniques ainsi qu’une diversité de localisations topographiques pouvant être isolées ou associées. La localisation unique et isolée du LP au niveau de la verge est rare, et son association avec l’infection à VIH n’est commune. Nous rapportons un cas de lichen plan hypertrophique de la verge chez un adulte de 66 ans séropositif au VIH qui a présenté une récidive de LP de la verge. Le LP se présentait comme une vaste lésion hypertrophique, hypochromique, siégeant au niveau de la face ventrale de la verge allant du gland jusqu’à la racine de la verge, enduite de plaques blanchâtres en sa périphérie. L’examen histologique a confirmé le diagnostic. La prise en charge en charge médico-chirurgicale a donné des résultats satisfaisants Cette observation souligne le fait que les lésions hypertrophiques de la verge doivent faire évoquer un LP, surtout chez le sujet immunodéficient.
RÉSUMÉ
Lichen planus (LP) is a chronic cutaneous-mucosal inflammatory disease whose etiopathogenic factors are uncertain. It is rare in the general population, and presents with a multitude of clinical expressions, as well as a diversity of topographical localizations that may be isolated or associated. Isolated, single localization of LP on the penis is rare, and its association with HIV infection is uncommon. We report a case of hypertrophic lichen planus of the penis in a 66-year-old HIV-positive adult who presented with a recurrence of LP of the penis. The LP presented as a large, hypertrophic, hypochromic lesion on the ventral surface of the penis, from the glans to the root of the penis, with whitish plaques around the periphery. Histological examination confirmed the diagnosis. This observation underlines the fact that hypertrophic lesions of the penis should raise the suspicion of LP, especially in immunodeficient subjects.
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