A Case Report on Steroid-Induced Skin Changes in A Case of Hypertrophic Lichen Planus

A chronic inflammatory skin disorder known as hypertrophic lichen planus (HLP) is characterized by thicker, scaly plaques that frequently itch extremely. A 17-year-old male patient came with the chief complaints of light-colored skin surrounding a raised and pigmented skin lesion which appeared following injection given for treatment. On Examination patient had multiple hyperpigmented violaceous Plaques noted over the midline aspect of the lower 1/3rd of the right & left leg and foot. Surrounding skin shows distinct hypopigmentation one or more hyperpigmented plaques shows adherent scales on its surface. Past history usage of Triamcinolone Acetonide Injection 40 mg/ml was there 3 months back. From the clinical examination, the patient was diagnosed with Hypertrophic Lichen Planus with steroid-induced skin changes. Treatment was directed towards steroid-induced side effects with topical calcineurin inhibitors like Tacrolimus and topical Vitamin D3 analogues like calcipotriol. The above stated side effects should be borne in mind being prompt in diagnosing the condition but also the iatrogenic complications related to the given treatment. These complications should be clearly explained to the patient explaining why injection is being given weighing benefit vs risk and also giving proper treatment priorities when handling side effects too