Lichen planus (LP) is a chronic inflammatory and immune mediated disease that affects the skin, nails, hair, and mucous membranes. Cutaneous lichen planus (CLP) most commonly involves the flexor surfaces of the extremities and presents as small itchy violaceous  papules in middle–aged adults. “Pruritic, Purple, Polygonal, Planar, Papules, and Plaques” are the traditional 6 “P’s” of LP.