Lichen Planus

A 45-year-old male presents with intensely pruritic, violaceous, polygonal papules on his flexural wrists and ankles. Oral examination reveals white, lacy lesions on the buccal mucosa. Which of the following is the most likely diagnosis?

A skin biopsy from a patient with generalized pruritic, violaceous papules shows hyperkeratosis, irregular acanthosis with saw-tooth rete ridges, vacuolar degeneration of the basal layer, and a dense band-like lymphocytic infiltrate at the dermo-epidermal junction. Civatte bodies are also noted. These findings are characteristic of:

Which of the following statements regarding oral lichen planus is INCORRECT?

A 30-year-old female is diagnosed with generalized lichen planus affecting her skin and oral mucosa, causing significant pruritus and discomfort. What is the most appropriate first-line systemic treatment for widespread, symptomatic lichen planus?

Which of the following is a recognized variant of lichen planus characterized by follicular involvement, leading to scarring alopecia, particularly on the scalp?