How should this patient be treated

Answer: After the presence of an active tinea pedis is confirmed by KOH preparation, initial treatment should consist of systemic treatment for the tinea pedis. In many instances, the lichen planus will remit when the fungal infection is eradicated. If drug-induced lichen planus is suspected, elimination of the suspect medication is the first measure. In idiopathic lichen planus, treatment may range from topical steroids to systemic retinoids, depending on the stage and extent of the disease.

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