Clinico-epidemiological study of childhood lichen planus at a tertiary care centre in South India


  • Srirath Madappally Kambil Department of Dermatology, Kannur Medical College, Anjarakandy, Kannur, Kerala, India



Childhood, Lichen planus, Mucosa, Nail


Background: Lichen planus (LP) is an autoimmune disorder occurring infrequently in children. LP is mainly seen in adults of both sexes. There are only a few studies on childhood LP in South India.

Methods: 52 children under 14 years of age with LP were evaluated. The study was done in the Dermatology outpatient department from April 2016 to March 2018. The various clinical and epidemiological features observed are recorded in the study.

Results: LP was slightly more common in boys and the age group mainly affected was 5-9years. Classical LP was the most common clinical type and extremities were the main site of skin lesions. Erosive lesions on buccal mucosa were the commonest type of mucosal involvement. Koebners phenomenon was seen in a significant number of cases.

Conclusions: LP is not rare in children and resembles adult LP in most aspects. Mucosal and nail involvement is seen in many cases. Knowledge about the various clinical patterns of LP will help in early diagnosis and proper treatment.


Kumar V, Garg BR, Baruah MC, Vasireddi SS. Childhood lichen planus (LP). J Dermatol. 1993;20:175-7.

Pandhi D, Singal A, Bhattacharya SN. Lichen planus in childhood: A series of 316 patients. Pediatr Dermatol. 2014;31:59-67.

Handa S, Sahoo B. Childhood lichen planus: A study of 87 cases. Int J Dermatol. 2002;41:423-7.

Ravikiran SP, Jaiswal AK, Anupama YG, Madan Mohan NT, Reddy PK. Lichen planus in children: A retrospective study in 76 patients at a tertiary care center in South India. Indian J Paediatr Dermatol. 2017;18:209-13.

Puri N, Puri A. A study on lichen planus in children. Our Dermatol Online. 2013;4(3):303-5.

Kumar A, Mendiratta V, Agarwal S, Chander R, Sanke S. Childhood lichen planus: A series of 42 patients. Indian J Paediatr Dermatol. 2018;19:116-9.

Chatterjee K, Bhattacharya S, Mukherjee CG, Mazumdar A. A retrospective study of oral lichen planus in paediatric population. J Oral Maxillofac Pathol. 2012;16:363-7.

Luis-Montoya P, Domínguez-Soto L, Vega-Memije E. Lichen planus in 24 children with review of the literature. Pediatr Dermatol. 2005;22:295-8.

Nischal U, Kharkar V. Different treatment modalities in the treatment of childhood lichen planus. Indian J Drugs Dermatol. 2016;2:87-92.






Original Research Articles