01354nas a2200241 4500000000100000008004100001260001900042653001800061653001600079653003000095653002300125653001200148100001300160700001700173700001100190700001200201245008500213856009800298300001000396490000700406520068500413022001401098 2026 d c09/2026bLepra10aLichen Planus10aCoexistence10aLichen planus pigmentosus10aclinical vigilance10aleprosy1 aMishra N1 aMorgaonkar M1 aDeo KS1 aSunil A00aCo-occurrence of lichen planus pigmentosus and leprosy: a case with many lessons uhttps://leprosyreview.org/admin/public/api/lepra/website/getDownload/6a9e810cafaac16f3e1084b2 a1 - 60 v973 a

Lichen planus pigmentosus (LPP) is a chronic pigmentary disorder that may obscure coexisting dermatoses. We report a rare co-occurrence of generalised LPP with borderline tuberculoid leprosy. The co-occurrence of these two conditions has not yet been reported in literature. This report also discusses the impact of clofazimine-induced pigmentation and its associated stigma and psychological distress in the patient. This case highlights the risk of leprosy lesions remaining unnoticed in patients with pigmentary disorders and underscores the need for meticulous examination, anticipatory counselling, and integrated psychosocial support in holistic leprosy management.

 a2162-8807