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Lichen Nitidus Tips

Lichen Planus: Everything You Need To Know

Dr. Pankaj Painuly 86% (112 ratings)
BHMS
Homeopath, Dehradun
Lichen Planus: Everything You Need To Know

Lichen planus is a skin rash triggered by the immune system. It’s not known why the immune response occurs. There may be several contributing factors, and each case is different. Potential causes include:

  • Viral infections
  • Allergens
  • Stress
  • Genetics

Sometimes lichen planus occurs along with autoimmune disorders. While it may be uncomfortable, in most cases lichen planus is not a serious condition. It’s also not contagious.
However, there are some rare variations of the condition that may be serious and painful. These conditions can be treated with topical and oral medications to reduce symptoms, or by using drugs that suppress the immune system.


Symptoms of lichen planus

  • Purplish-colored lesions or bumps with flat tops on your skin or genitals
  • Lesions that develop and spread over the body over the course of several weeks or a few months
  • Itching at the site of the rash
  • Lacy-white lesions in the mouth, which may be painful or cause a burning sensation
  • Blisters, which burst and become scabby
  • Thin white lines over the rash

The most common type of lichen planus affects the skin. Over the course of several weeks, lesions appear and spread. The condition usually clears up within 6 to 16 months.
Less commonly, the lesions can occur in areas besides the skin or genitals. These may include:

  • Mucous membranes
  • Nails
  • The scalp

There are also variations of the condition more common in the middle east, asia, africa, and latin america.
 

What are the causes and risk factors?
Lichen planus develops when your body attacks your skin or mucous membrane cells by mistake. Doctors are not sure why this happens.
Lichen planus can occur in anyone at any age, but there are certain factors that make some people more likely to develop the condition. The skin form of lichen planus occurs in men and women equally, but women are twice as likely to get the oral form. It’s very rare in children and older adults. It’s most common in middle-aged people.


Other risk factors include having family members who’ve had lichen planus, having a viral disease like hepatitis c, or being exposed to certain chemicals that act as allergens. These allergens may include:

  • Antibiotics
  • Arsenic
  • Gold
  • Iodide compounds
  • Diuretics
  • Certain kinds of dyes
  • Other medications
  • Diagnosis of lichen planus

Anytime you see or feel a rash on your skin or lesions in your mouth or on your genitals, you should see your doctor as soon as possible. Your primary care doctor may send you to a dermatologist if a diagnosis of lichen planus is not obvious, or if your symptoms are making you very uncomfortable.
Your primary care doctor or dermatologist may be able to tell that you have lichen planus simply by looking at your rash. To confirm the diagnosis, you may need further tests.
Tests could include a biopsy, which means taking a small sample of your skin cells to view under a microscope, or an allergy test to find out if you’re having an allergic reaction. If your doctor suspects the underlying cause is an infection, you may need to have a test for hepatitis c.
 

Treating lichen planus
For mild cases of lichen planus, which usually clear up in weeks or months, you may not need any treatment. If the symptoms are uncomfortable or severe, your doctor can prescribe medication.
There is no cure for lichen planus, but medications that treat the symptoms are helpful and some may even be able to target a possible underlying cause. Medications often prescribed include:

  • Retinoids, which are related to vitamin a and are taken topically or orally
  • Corticosteroids reduce inflammation and can be topical, oral, or given as an injection
  • Antihistamines reduce inflammation and may be particularly helpful if your rash is triggered by an allergen
  • Nonsteroidal creams are applied topically and can suppress your immune system and help clear up the rash
  • Light therapy treats lichen planus with ultraviolet light

Home treatments
There are other things you can try at home to complement your prescription treatments. These include:

  • Soaking in an oatmeal bath
  • Avoiding scratching
  • Applying cool compresses to the rash
  • Using otc anti-itch creams

Talk to your doctor before adding otc products to your treatment plan. This way you’ll be certain that nothing you might take will interact with prescription medications you’re taking.

2 people found this helpful

Lichen Sclerosus overview

Dr. Parimalam Ramanathan 87% (45 ratings)
FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), Certificate of Completion of Training (CCT) - Nephrology, MD - Obstetrtics & Gynaecology, DNB, MBBS
IVF Specialist, Chennai
Lichen Sclerosus overview

Quite a rarity, Lichen sclerosus is a skin disease, which is typically identified as white, patchy skin that is both sensitive and thinner than the surrounding area. Although it can appear anywhere on the body, it is found to occur predominantly in the skin regions in and around the vulva, the anus and the foreskin of the penis. It is a common occurrence in postmenopausal women.

Symptoms
Mild cases of lichen sclerosus are usually asymptomatic, but moderate to severe cases may have any of the following signs and symptoms:
1. Itching, which may or may not be severe
2. Smooth and sensitive white spots
3. Easy tearing or bruising
4. Pain or discomfort
5. Wrinkled or blotchy patches
6. Painful intercourse
7. Blistering, bleeding or ulcerated lesions in more severe cases

Causes
Although there are no known exact causes of lichen sclerosus, here are a few possible causes:
1. An overactive immune system
2. An imbalance of hormones
3. Previous skin damage at a particular site making it tender and sensitive

Complications
A number of problems may arise from the skin disease, if left untreated. Here are a few complications:

1. Skin cancer may develop, but then again, this is a very rare occurrence
2. Lichen sclerosus on the vulva can lead to the development of vulvar cancer.
3. Sexual intercourse can get extremely painful for women in severe cases, due to intensive scratching and scarring
4. Can cause thinning and tightening of the foreskin of uncircumcised men. This can be troublesome during erections or when urinating.

Treatment
If the symptoms do not show or if your genital area is not badly affected, then you may not necessarily need treatment. However, if symptoms begin to appear, you should probably consult a doctor for treatment. Treatment can help decrease scarring and itching, as well as improve your skin's appearance.
Corticosteroid ointments and creams are the most common form of treatment. Apart from this form of treatment, you should consult your doctor may also prescribe the following:
1. Immune-modulating medications
2. Ultraviolet light treatment
3. Topical sex hormones
4. Circumcision or removal of the foreskin of the penis

2983 people found this helpful

Lichen Planus - What You Should Know?

Dr. Jagatjit Singh 85% (256 ratings)
MBBS, DHMS-Harvard, Masters in Clinical Dermatology
Dermatologist, Chandigarh
Lichen Planus - What You Should Know?

The skin is the most exposed organ to irritants, and when the body recognizes something as foreign, the immune system kicks into action. It produces what is known as antibodies against the foreign bodies (antigens). However, in many situations, the body produces antibodies against its own cells or tissue or components, causing an autoimmune reaction. One such autoimmune reaction is lichen planus, which is a skin rash caused when the body produces antibodies against its own skin or mucous membranes.

Risk factors: While anyone with a weak immune system can develop lichen planus, the followings increase the chances of that happening:

  1. Presence of other autoimmune disorders
  2. Hyperactive immune system, causing the allergic reaction
  3. Genetic inheritance
  4. Increased stress levels
  5. Prior history of viral infections
  6. Middle aged women
  7. Exposure to allergens like gold, arsenic, iodine, and drugs like diuretics and antibiotics
  8. Prior history of hepatitis C

Symptoms: Diagnosis of lichen planus is quite easy, as it has a characteristic appearance.

  1. Basically, a skin rash that is purple in color with flat tops on the skin
  2. Rashes spread over the body in a matter of weeks
  3. They are itchy, painful, and produce a burning sensation
  4. Could have blisters which burst
  5. Have thin lacy margin
  6. Can be seen in the genital area, scalp, ankle, hands, mucous membranes, and nails

If required, a biopsy can be done in some cases to confirm the diagnosis. Allergy testing can also be done to confirm hyperactive immune system.

Treatments: This can depend on the severity of the condition. In people where it is not progressive or inflamed, it could be observed to run its natural course and subside.

For those requiring symptomatic treatment, the following can be used:

  1. Steroids (topical or oral) to reduce inflammation
  2. Antihistamines to reduce the allergic response
  3. Retinoids (topical or oral) which can help overall skin health
  4. Nonsteroidal creams to clear up the rash
  5. Moisturizer to keep skin healthy and prevent dryness and itching
  6. Cool compresses on the rashes
  7. Loose clothing to prevent irritation and itching
  8. Anti-itch creams and powders and lotions
  9. Oatmeal bath to avoid itching and inflammation
  10. Ultraviolet radiation to the rash to reduce severity
  11. Avoid agents (drugs or chemicals) which can cause lichen planus
  12. If the lesions are in the mouth, mouthwash and/or rinse can be used for topical relief

Lichen planus often does not require any treatment. However, depending on each individual, it may require topical and/or systemic treatment to manage the symptoms. It usually runs its course over 6 to 10 weeks and subsides on its own. If you wish to discuss about any specific problem, you can consult a Dermatologist.

2414 people found this helpful

Lichen Simplex Chronicus/ Prurigo Nodularis

Dr. Amey Kelkar 87% (55 ratings)
MD - Dermatology , Venereology & Leprosy, MBBS Bachelor of Medicine and Bachelor of Surgery
Dermatologist, Pune
Lichen Simplex Chronicus/ Prurigo Nodularis

LSC is a severely pruritic chronic disorder characterised by 1 or more lichenised plaques. Most common sites of involvement are the scalp, nape of neck, extensor aspects of extremities and anogenital regions. 

Causes:

LSC is induced by rubbing and scratching the body secondary to itch. Environmental factors like heat, sweat, irritation may also aggravate the condition. Patients with emotional lability or tension are more prone to develop this condition.

Clinical Features:

Severe itching is the hallmark of lichen simplex chronicus. Itching may be paroxysmal, sporadic or chronic. It may be conscious and to the point of replacing the sensation of itch with pain or may be unconscious occurring during sleep.

The frequent rubbing leads to development of lichenified scaly plaques. The most common sites of involvement are the nape of neck, scalp, ankles, extensor aspects of extremities and the anogenital regions. The scrotum is the common site of involvement in men. The nodules may vary in size from 0.5 mm to 3 mm.

Treatment:

Treatment is aimed at interrupting the itch scratch cycle. Systemic causes of itch should be identified and addressed. Potent topical steroids are generally prescribed to control itch. Anti histaminics like hydroxyzine or levocetrizine can also be given. Capsaicin, calcipotriol, cryotherapy have been used in the treatment of prurigo nodularis. PUVA therapy has also known to show some benefit.

2 people found this helpful

Homeopathic Medicines for Treatment of Lichen Planus

Dr. Prabha Acharya 88% (106 ratings)
PGDM In Cosmetology, Trichology & Weight Managmen, MD, BHMS
Homeopath, Mumbai
Homeopathic Medicines for Treatment of Lichen Planus

Let us start with a brief introduction about homeopathy. We know about the regular treatments and drugs that focus on curing the diseases directly. However, homeopathy is an alternative to regular medicine. The science of homeopathy is based on the principle that the substances which induce symptoms in healthy individuals are the ones that would help cure the same symptoms of a person who is sick. This medical science was introduced by Dr. Samuel Hahnemann. Another principle of homeopathy is that the least amount of medication should be required to evoke the healing response in a body. Normal medications have been well known to cause numerous side effects, but homeopathy, on the other hand, puts the efforts to prevent the formation of any sort of side effect altogether.

Lichen Planus-

This is an immune system-triggered skin disorder. The most common symptoms of this disorder are:

  1. Occurrence of purple-coloured bumps with flat tops takes place on the skin or genitals.

  2. These bumps develop and also spread in a span of a few months.

  3. The rashes are itchy.

  4. Lacy white rashes occur in the mouth.

  5. Scabby blisters and thin white lines appear over these rashes.

Causes-

The exact reason of this disorder is not known. However, it is believed that this develops when the immune system wrongly attacks the mucous membrane or the skin. This disorder can also be genetic. However, it is not infectious. Also another reason for the cause of this disorder may be due to exposure to certain chemicals which act like allergens such as gold, diuretics, certain dyes, arsenic, antibiotics etc.

Homeopathic Treatment To Cure Lichen Planus-

Homeopathy offers research-proven and highly effective treatment for Lichen Planus which has been scientifically documented. Contrary to the conventional treatment, which is governed by the use of cortisone, homeopathic treatment is amazingly curative, safe and longer lasting.

The homeopathic treatment for Lichen Planus is based on the individual case study of the patient's disease, its cause, its spread, the area affected, the genetic tendency, mindset, etc. The treatment plans thus designed is addressed towards correcting the immune system, in turn treating Lichen Planus from within. Homeopathic Clinics and our online treatment platform for our global patients.

  1. Borax - This is suited when blisters appear in the mouth.

  2. Arsenicum album - This can be provided when the rashes are very itchy and blisters form after scratching.

  3. Sulphur - This can be recommended to individuals with dry, scaly and unhealthy skin. Skin ailments in these skin types are usually associated with a lot of itching and burning. This particular remedy is best suited for weak individuals who are extremely sensitive to high temperatures, individuals who are mostly irritated and depressed.

  4. Apis - This is suitable when burning and swelling of the rashes occur. These also cure the prickly heat rashes.

  5. Nat. Mur - In case of dry eruptions occurring on the bends of the joints and on the margins of hairy scalps, this remedy can be useful. If you wish to discuss any specific problem, you can consult a homeopath.

5057 people found this helpful

Lichen Planus - Signs And Symptoms You Might Be Suffering From It!

Dr. Sunakshi Singh 90% (164 ratings)
MD - Dermatology, MBBS
Dermatologist, Delhi
Lichen Planus - Signs And Symptoms You Might Be Suffering From It!

The skin is the most exposed organ to irritants, and when the body recognizes something as foreign, the immune system kicks into action. It produces what is known as antibodies against the foreign bodies (antigens). However, in many situations, the body produces antibodies against its own cells or tissue or components, causing an autoimmune reaction. One such autoimmune reaction is lichen planus, which is a skin rash caused when the body produces antibodies against its own skin or mucous membranes.

Risk factors: While anyone with a weak immune system can develop lichen planus, the followings increase the chances of that happening:

  1. Presence of other autoimmune disorders
  2. Hyperactive immune system, causing the allergic reaction
  3. Genetic inheritance
  4. Increased stress levels
  5. Prior history of viral infections
  6. Middle aged women
  7. Exposure to allergens like gold, arsenic, iodine, and drugs like diuretics and antibiotics
  8. Prior history of hepatitis C

Symptoms: Diagnosis of lichen planus is quite easy, as it has a characteristic appearance.

  1. Basically, a skin rash that is purple in color with flat tops on the skin
  2. Rashes spread over the body in a matter of weeks
  3. They are itchy, painful, and produce a burning sensation
  4. Could have blisters which burst
  5. Have thin lacy margin
  6. Can be seen in the genital area, scalp, ankle, hands, mucous membranes, and nails

If required, a biopsy can be done in some cases to confirm the diagnosis. Allergy testing can also be done to confirm hyperactive immune system.

Treatments: This can depend on the severity of the condition. In people where it is not progressive or inflamed, it could be observed to run its natural course and subside.

For those requiring symptomatic treatment, the following can be used:

  1. Steroids (topical or oral) to reduce inflammation
  2. Antihistamines to reduce the allergic response
  3. Retinoids (topical or oral) which can help overall skin health
  4. Nonsteroidal creams to clear up the rash
  5. Moisturizer to keep skin healthy and prevent dryness and itching
  6. Cool compresses on the rashes
  7. Loose clothing to prevent irritation and itching
  8. Anti-itch creams and powders and lotions
  9. Oatmeal bath to avoid itching and inflammation
  10. Ultraviolet radiation to the rash to reduce severity
  11. Avoid agents (drugs or chemicals) which can cause lichen planus
  12. If the lesions are in the mouth, mouthwash and/or rinse can be used for topical relief

Lichen planus often does not require any treatment. However, depending on each individual, it may require topical and/or systemic treatment to manage the symptoms. It usually runs its course over 6 to 10 weeks and subsides on its own. In case you have a concern or query you can always consult an expert & get answers to your questions!

3576 people found this helpful

Dr. Souvagya Ranjan Kar 90% (536 ratings)
BDS
Dentist, Cuttack
Dietary management of Oral lichen planus

Dr. Prof. Rajendra Prasath A 92% (186 ratings)
BHMS, MD - Homeopathy
Homeopath, Chennai
Red Meat should be avoided to the diseased person of Psoriasis, Lichen planus, eczema, etc..
1 person found this helpful

Skin Care And Homeopathy!

Dr. Preeti Jaiswal 93% (372 ratings)
BHMS, Diploma In Nutrition & Diet Planning , ICR, M.D. Alternative Medicine
Homeopath, Thane
Skin Care And Homeopathy!

Skin is mirror of your internal health. Homeopathic treatment works at the root cause of disease and gives long lasting result without any side effects.

Conditions like acne, eczema, fungal infections, psoriasis, vitiligo, lichen planus, hypo or hyperpigmentation is well managed by homeopathic treatment.
 

14 people found this helpful

Homeopathy For Skin Problems

Dr. Rushali Angchekar 95% (59052 ratings)
BHMS
Homeopath, Sindhudurg
Homeopathy For Skin Problems
Homeopathy For Skin Problems-
Homeopathy is the system of medicine in which ailments are treated by minimal doses of natural substances. It attacks and cures the root cause of the ailment without causing side effects. To deal with skin disease, it not only studies the skin type but also takes into account a complete analysis of the mind, genetic factors and the condition of the immune system. Homeopathy just doesn’t treat the symptoms, but delves inside the body and takes on the root cause behind the symptoms.

Homeopathy is effective in treating various skin problems, such as eczema, rashes, allergic dermatitis, Uriticaria, Psoriasis, Lichen Planus and other variants, Lichen Planus and other variants, Chronic and recurring bacterial infections, Chronic and recurring bacterial infections, Fungus infections, Vitiligo, acne, Dandruff, hair loss and many other skin ailments.
Dr Rushali Angchekar
9404447484
223 people found this helpful
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