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Living with Lichen planus pigmentosus

A rare form of lichen planus that causes brown to gray-brown patches on the skin, often in sun-exposed areas.

Understanding Lichen planus pigmentosus

Lichen planus pigmentosus (LPP) is a rare form of lichen planus that causes brown to gray-brown skin patches.

The patches are oval or irregular. They most often appear on sun-exposed areas such as the forehead, temples, and neck. They may also appear on the trunk or in skin folds like the armpit and groin. It usually begins in adulthood.

Signs & symptoms

GARD doesn't list a symptom list for this condition. Its summary describes these features:

  • Brown to gray-brown skin patches
  • Oval or irregularly shaped patches
  • Patches on the forehead, temples, and neck
  • Patches in skin folds

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Skin, hair, and nail specialists (dermatologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Children's Skin Disease Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Could sun exposure or skin products be triggering my patches?
Which tests can confirm the diagnosis?
What can I do to protect my skin?

Quick facts

Symptoms usually startAdult

The cause is unknown. Studies suggest UV light, viral infections, or products put on the skin, such as mustard oil and amla oil, may trigger it.

Skin

Also known as: lichen planus pigmentosa; lichen planus pigmentosus inversus; lp pigmentosa; lp pigmentosus; post-inflammatory hyperpigmentation in lichen planus

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Lichen planus pigmentosusGARD ID 10816 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Lichen planus pigmentosus.

Explore the Lichen planus pigmentosus blog

Explore research for Lichen planus pigmentosus

Explore actively recruiting Lichen planus pigmentosus studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Lichen planus pigmentosus with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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