Lichen Planus-Like Keratosis – A Unique Entity

Lichen planus-like keratosis (LPLK) is a benign skin lesion that can be challenging to distinguish from various benign and malignant skin tumours. We are presenting two cases with a single, asymptomatic dark flat lesion on the face and scalp. Dermoscopy of both lesions showed pigment pseudo-network, pigment dots and globules, as well as few white structureless areas. The diagnosis of LPLK was confirmed on histopathology. It is frequently confused with malignant conditions, and therefore, it is essential to be aware of this benign entity to prevent unnecessary psychological impact on the patient of a diagnosis of malignancy as well as to avoid unwarranted biopsies.