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However, more generalized symmetric distribution, the tendency to involve photo-distributed sites sparing classic flexural sites of idiopathic LP, more eczematous or psoriasiform morphology, and absence of Wickham’s striae favor the diagnosis toward LDE.[9] Although idiopathic LP and LDE share many histopathological similarities, the presence of varying degree of eosinophilic infiltrates, focal parakeratosis and focal interruption of granular layer, cytoid bodies in cornified, granular and upper spinous layer, and deep perivascular infiltrate differentiate LDE from lichen planus.[10] Apart from corroborative clinical findings and histopathological features, temporal intake of drug history, regression of lesions after withdrawal of the offending drugs, and reappearance of similar lesions during drug provocation tests substantiate the diagnosis of LDE
