Lichen planus with bullous manifestation on the lip


Anne-Moon van Tuyll van Serooskerken, MD Department of Dermatology University Hospital Maastricht P. Debyelaan 25 PO Box 5800 6202AZ Maastricht the Netherlands E-mail:


A 75-year-old Caucasian female with a previous history of cutaneous lichen planus (LP) developed vesiculae and blisters on the lip. This special variant of oral LP is very rare and has to be distinguished from LP pemphigoides, bullous pemphigoid, pemphigus vulgaris, erythema multiforme, and herpes simplex virus infection. To date, there are only few reports on bullous oral LP on the lower lip. Although treatment is difficult, we successfully applied a topical combination of tretinoin 0.025% and triamcinolone 0.1%.