Epidermal Changes in Lichen Planus

Abstract
Ultrastructural investigations in 15 patients with lichen planus (LP) revealed a multitude of epidermal changes. The most consistent findings were multiplication, irregular folding or dislocation of the basal lamina; fragmentation with degenerative changes of basal keratinocytes; formation of numerous fibrillar Civatte bodies and presence of dyskeratotic elements. In addition, mitotic finures of keratinocytes and Langerhans cells were observed. The primary event in LP probably represents an injury involving epidermal basal cells. The replacement of destroyed tissue seemed to originate not only from the margin of the lesions or the skin appendages but also from unaffected cells within the LP papule.