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Lichen planus is an idiopathic lichenoid dermatosis that has many variants, such as the follicular form, which is clinically and histologically characterized by follicle involvement. Usually the most typical dermoscopic feature of lichen planus is the presence of whitish lines, also called Wickham striae (WS), which histologically correlate with orthokeratosis above the zones of wedge-shaped hypergranulosis [1]. WS are seen as rounded, arboriform, reticular, or annular pearly whitish structures and are pathognomonic of lichen planus. WS can show different color patterns, such as homogeneous crystalline white, blue-white veil, and yellowish white pattern. The WS border can show thin spikes or arboriform ramifications, intermingled with linear vessels [1,2]. Other features that can be observed at dermoscopic analysis are the presence of gray-blue dots, peppering, red lines due to the presence of vascular structures, comedo, milium-like cysts, and blue-white veils in the center [2]. Case Presentation

Lichen Planus Mimicking Atypical Melanocytic Lesion in a Man With Dark Skin