Lichen planus is a common disease and inflammatory medical condition that causes swelling on your skin or irritation inside your mouth. Lichen planus produces a rash that is frequently itchy on your skin.
It may cause burning sensation or pain inside your mouth. Women are more likely than men to get the oral variant of the disease.
Lichen planus affects the skin, hair, nails, and mucous membranes.
Purplish, itchy, flat pimples on the inner forearm, wrist, ankle, and occasionally the genitals are common indications and symptoms. Itching and lacy white patches in the mouth, on the lips or tongue, painful sores in the mouth or vagina, hair loss, change in scalp colour, and nail damage or loss are additional common symptoms. Over the course of a few weeks or months, these lesions can grow and spread throughout the body.
In most cases, lichen planus is not infectious.
Lichen planus is common in middle-aged adults. Women are more likely to get oral lichen planus. However it can be seen in children and younger age groups as well.
Diagnosis is usually clinical based on symptoms, medical history and physical examination. Biopsy is rarely required for confirmation.
Corticosteroid: Corticosteroid cream or ointment is usually the first line of treatment for lichen planus. If it doesn’t work and your problem is severe or widespread, your doctor may advise you to take corticosteroid medications. Corticosteroids are considered safe when taken as directed and for short-term use.
Non Steroid Medications: The antimalarial hydroxychloroquine and the antibiotic metronidazole have shown benefit. Dapsone is also used to keep patients from relapsing. Certain immunosuppressive agents like Azathioprine can be used in patients who have frequent relapses and recurrences.
Oral Antihistamines: These might offer relief from itching.
Phototherapy or Light Therapy: For several weeks, narrow band ultraviolet B radiation is used for two to three sessions per week. It is a very safe medication that can be used for an extended period of time. It has no systemic side effects and, unlike PUVA, does not increase the risk of skin cancer. The results take 4 to 6 weeks to show and are slower in the beginning.
Retinoids: Retinoids are considered in severe cases only. Doctors may use retinoids if corticosteroids and light therapy are ineffective in curing this illness. Retinoids are artificial versions of vitamin A that can be applied topically or taken orally.
Some rare variations can be significant and painful, necessitating the use of topical and oral medicines as well as immunosuppressants to alleviate symptoms. Please visit your dermatologist if the problem causes pain or severe itching.
For more information & consultation on Lichen Planus treatment, visit VIVA Aesthetic Clinic at Opera House or contact us on 022 3573 1556 | 93245 89084 or simply fill in your name and number & one of our team member will get in touch with you soon. Our team of experts along with Dr. Deepam Shah, MD. DNB. FAM – Dermatologist, Cosmetologist & Hair Transplant Surgeon, will help you out in understanding your problem and guide you through every stage of your treatment.