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Lichen Planus- ...On examination, numerous purple papules were noted on the anterior surface of the forearms
surface of the hands ... lesions showed a fine ... #NEJM #clinical ... #photo #lichen # ... planus #derm #wickhams
Lichen planus 

A. Flat-topped, polygonal, sharply defined papules of violaceous color, grouped 
and confluent. Surface is
Lichen planus ... inspection with a hand ... lens, fine white ... Wickham #Striae #Dermatology ... #Clinical #Photo