Bilateral Periorbital Involvement Localized to Eyelids in Lichen Planus Pigmentosus

A 35‐year‐old male presented with asymptomatic dark slate‐gray hyperpigmentation over both eyelids on both sides for the past 1 year. There was no history of trauma, pre‐existing dermatosis, or topical and/or systemic medications before the onset of pigmentation. Local cutaneous examination revealed well‐defined dark slate‐gray hyperpigmented patches chiefly involving both the right and left upper eyelids and medial aspect of both lower eyelids extending to the infraorbital area [Figure 1a and b]. Few brownish‐black hyperpigmented patches with atrophic centre were also present on the right side of forehead. Nails and mucosa were normal on examination.