Lichen Planus Pigmentosus as a Cutaneous Extrahepatic Manifestation of Chronic Hepatitis C Virus Infection: A Case Report

    Erda Avriyanti, Nur Mala Il, Endang Sutedja, Laila Tsaqilah, Chaerani Pratiwi Firdaus, Eva Krishna Sutedja, Hermin Aminah Usman, Risa Hidayah
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    Studysummary This case report highlights lichen planus pigmentosus in a 60-year-old man, which was linked to previously undetected hepatitis C infection and liver cirrhosis, suggesting a need for hepatitis C testing in patients with similar dermatological manifestations.
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    This case report presents lichen planus pigmentosus (LPP) as a potential cutaneous extrahepatic manifestation of chronic hepatitis C virus (HCV) infection in a 60-year-old male with itchy, dark brown macules on his face. The diagnosis of LPP, alongside chronic HCV infection and liver cirrhosis, underscores the importance of testing for HCV in patients with LPP or similar skin conditions, as these may indicate undetected HCV infections. Treatment involving sun avoidance, photoprotection, topical steroids, and direct-acting antiviral agents resulted in clinical improvement, highlighting the need for awareness of HCV's diverse manifestations beyond liver-related symptoms.
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