Prezentam cazul unei paciente in varsta de 43 de ani din mediul urban, cunoscuta de 5 ani cu hepatita cronica posttransfuzionala cu virus hepatic C, care prezinta de 3 ani si leziuni extinse de vitiligo (predominant la nivelul membrelor). Cu aproximativ 1 an anterior internarii au aparut papule lichenoide atit pe zonele de vitiligo, cat si pe tegumentele normal colorate. Mucoasele erau indemne la prezentarea in clinica.

Examenele paraclinice au fost concordante cu o hepatita cronica moderat activa parenchimatos.

Examenul histopatologic a confirmat diagnosticul de lichen plan.

Sunt discutate posibilele corelatii etiopatogenice, precum si variantele de abordare terapeutica a acestui caz (pacienta nu urmase vreun tratament pentru vitiligo sau lichen pana la prezentarea in serviciul nostru).

We present the case of a 43 years old woman, having posttransfusional chronic liver disease due to virus C for 5 years, and extensive lesions of vitiligo for 3 years (especially on limbs). One year before admission to our clinic appeared lichenoid papules on normal and depigmented skin without involvement of the mucous membranes.

Laboratory findnigs were consistent with a moderate active chronic hepatitis. Histopathology confirmed the diagnosis of lichen planus.

We discuss the possible etiopathogenetic correlation and the posibilities of approach to this case (the patient was never treated for vitiligo, or for lichen planes before admission to our clinic).