Lichen planus (LP) Skin Condition

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Lichen planus (LP) Skin Condition

Lichen planus (LIE-kun PLAY-nus) is a condition that can cause swelling and irritation in the skin, hair, nails and mucous membranes. On the skin, lichen planus usually appears as purplish, itchy, flat bumps that develop over several weeks.Mar 9, 2021

What does lichen planus of the skin look like?

Lichen planus of the skin appears as small, flat-topped, red-to-purple bumps with round or irregular shape. You may have just a few small bumps or you may have many. If you take a closer look, you might see white scales or flakes on them. Some may have wispy, gray-to-white streaks called Wickham’s Striae.

Is lichen planus a serious disease?

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.

How do you get lichen planus?

The cause of lichen planus is usually not known, although possible causes include: Hepatitis C, a virus that attacks your liver. Certain medicines, including some drugs used to treat high blood pressure, diabetes, heart disease, and malaria. Reactions to metal fillings in your teeth.

What diseases are linked to lichen planus?

Lichen planus is a cell-mediated immune response of unknown origin. It may be found with other diseases of altered immunity; these conditions include ulcerative colitis, alopecia areata, vitiligo, dermatomyositis, morphea, lichen sclerosis, and myasthenia gravis.

What is LP in dermatology?

Lichen planus (LP) is a rare, chronic, inflammatory autoimmune skin and mucous membrane disease. LP most commonly presents as itchy, shiny, reddish-purple spots (lesions) on the skin (cutaneous LP) or as white-gray lesions in the mouth or on the lips (oral LP).

Is lichen planus lifelong?

It is often painful and sometimes itchy. If it is not treated, lichen planus can cause permanent scarring and possibly cancer. For most women it is a lifelong condition.

Is lichen planus cancerous?

Background: Oral lichen planus (OLP) and oral lichenoid lesions (OLL) are considered potentially malignant disorders with a cancer incidence of around 1% of cases, although this estimation is controversial.

What happens if lichen planus goes untreated?

The affected skin might stay slightly darker even after the rash clears up, especially in dark-skinned people. Oral lichen planus increases the risk of oral cancer. Left untreated, lichen planus of the ear canal may lead to hearing loss.

Is lichen planus bacterial or viral?

Lichen planus (LP) is a relatively common, chronic dermato-mucosal disease that often affects the oral mucosa. Among bacterial infections affecting LP, Helicobacter pylori has recently been proposed as an important etiologic factor.

What foods should I avoid with lichen planus?

These sores may burn and be painful. They’ll likely hurt the most when you eat or drink foods that are spicy, salty, acidic (orange juice, tomatoes), or alcoholic. Crispy treats and drinks with caffeine can also cause problems.

How do you get rid of lichen planus?

As lichen planus heals, it often leaves dark brown spots on the skin. Like the bumps, these spots may fade without treatment. If they do not go away, dermatologists can lighten the spots with creams, lasers, or other treatments.

Can lichen planus cause death?

The average lichen planus patient died at 71.3 years of age; men died earlier (67.5) than women (74.5). The earliest age at death was 39 for men and 47 for women. The latest was 88 for men and 93 for women.

Can vitamin D deficiency causes lichen planus?

Another study concluded that 1,25(OH)2D3 plays an anti- inflammatory role in oral lichen planus as it has an effect on the NF-kB signaling pathway. Therefore, from the findings we can conclude that low vitamin D plays a crucial role in causing oral lichen planus.

What vitamins are good for lichen planus?

Since 1971, Vitamin A acid (VAA) has been used for topical treatment of lichen planus (L.p.) at the 2nd Department of Dermatology in Vienna.

What autoimmune disease causes lichen planus?

Lichen planus (LP) is thought to be an autoimmune disorder in patients with a genetic predisposition but may be caused by drugs or be associated with disorders such as hepatitis C. LP is characterized by recurrent, pruritic papules that are polygonal, flat-topped, and violaceous and can coalesce into plaques.

Is lichen planus an autoimmune condition?

Lichen planus is a chronic, inflammatory, autoimmune disease that affects the skin, oral mucosa, genital mucosa, scalp, and nails.

Is lichen planus a disability?

If you or your dependent(s) are diagnosed with Lichen Planus Pigmentosus and experience any of these symptoms, you may be eligible for disability benefits from the U.S. Social Security Administration.

How Long Does lichen planus take to heal?

Most cases of lichen planus of the skin clear up on their own within 6 to 9 months. The rash rarely lasts longer than 18 months. However, oral lichen planus and lichen planus that affects the genital area may be more persistent.

Does sunlight help lichen planus?

Light therapy (phototherapy) may help clear up lichen planus affecting the skin. The most common phototherapy for lichen planus uses ultraviolet B (UVB) light, which penetrates only the upper layer of skin (epidermis). Light therapy usually requires two to three treatments a week for several weeks.

Is lichen planus a symptom of lupus?

Lupus erythematosus lichen planus (LE-LP) overlap syndrome remains an uncommon diagnostic entity, combining both the histologic and clinical features of lupus erythematosus and lichen planus. A rare and challenging diagnosis, clinicopathologic correlation is essential for accurate and timely identification.

Is lichen Nitidus itchy?

Itch. In rare cases, the bumps of lichen nitidus may itch, sometimes intensely. They may appear in a line where there’s a scratch, crease or constant pressure on the skin, such as a fold of skin on the abdomen or the crease of skin on the inside of the elbow or wrist.

Can I get lichen planus on my feet?

Hypertrophic lichen planus.

These extremely pruritic lesions most often occur on the extensor surfaces of the lower extremity, the ankles and along the medial aspect of the foot. The surface of the lesions often feels rough and raised, and appears warty. This sometimes leads to a misdiagnosis of mosaic verrucae.

Is lichen planus a precancerous condition?

Oral lichen planus (OLP) is a common mucosal condition that is considered premalignant by some, although others argue that only lichenoid lesions with dysplasia are precancerous.

Can lichen planus cause fatigue?

Immune modulators – such as imiquimod and levamisole may be advised by a specialist if lichen planus is severe. These work with the body’s immune system to help fight damage to the skin. Skin irritation, headache, nausea and tiredness can be side-effects.

What causes lichen planus to flare up?

It’s possible that, in some people, oral lichen planus may be triggered by certain medications, mouth injury, infection or allergy-causing agents such as dental materials. Stress may be involved in symptoms becoming worse or recurring.

Is lichen Striatus curable?

Lichen striatus will go away on its own without treatment. This usually takes several months to a year. As the rash goes away, the bumps fade and may leave behind a lighter area of skin. This is not permanent.

What food is good for lichen planus?

When the lesions are symptomatic, patients may avoid certain foods that may aggravate the symptoms. They are often on a soft diet, which may be a predominantly carbohydrate diet. Advise patients with oral lichen planus (OLP) that a diet rich in fresh fruit and vegetables may help reduce the risk of oral SCC.

Can lichen planus affect the bowel?

Conclusions: As lichen planus can be associated with other immunological disorders, the association with inflammatory bowel disease should be considered in the evaluation of the patient.

Should I see a dermatologist or gynecologist for lichen sclerosus?

If you have signs and symptoms common to lichen sclerosus, make an appointment with your primary care doctor. Your doctor may refer you to a specialist in the diagnosis and treatment of skin conditions (dermatologist).

Does Vitamin D Help With lichen planus?

Lichen planus disease is a chronic inflammatory lesion without a known etiology. Recent studies have indicated the role of vitamin D on immune system and proposed its anti-inflammatory effects.

How do dermatologists treat lichen planus?

How do dermatologists treat lichen planus?
  • Antihistamines: Pills that help alleviate itching.
  • Topical (applied to the skin) corticosteroid: Cream or ointment to reduce swelling and redness.

Is Turmeric Good for lichen planus?

Turmeric and Tulsi both are effective in management of Oral lichen planus but turmeric is more effective in reducing burning sensation, pain and white lesions compared to Tulsi.

Can anxiety cause lichen planus?

Based on previous clinical studies, it is generally believed that mental stress is one of the possible risk factors for the development of OLP (6). A previous study showed that in postmenopausal women, stress could lead to anxiety and depression, which are common reasons of lichen planus (7).

Can lichen planus affect the eyes?

Ocular involvement of lichen planus (LP) is a rare event, which can lead to irreversible damage to the ocular surface and loss of vision from cicatrizing blepharoconjunctivitis and corneal scarring. Steroids are the first treatment choice. Treatment with topical ciclosporin A is also a possible treatment.

What is LP pigmentation?

Lichen planus (LP) pigmentosus is a rare variant of cutaneous lichen planus (see this term) characterized by the presence of hyperpigmented lichenoid lesions in sun-exposed or flexural areas of the body.

Can you get lichen planus more than once?

Once the rash goes away, there is a chance it can come back. If your doctor prescribes medicine, follow the instructions. Try to avoid itching the bumps too much. There is a risk you can break the skin and cause an infection.

Is lichen planus linked to HPV?

In the present study, HPV 18 genome was found in 31% of OLP lesions and 7.1 % of controls. In 2009, Szarka16 reported that HPVs may be involved in the development or progression of potentially malignant oral lesions including oral lichen planus.

Is aloe vera good for lichen planus?

Conclusion: The study concluded that aloe vera is effective in the management of symptomatic oral lichen planus with minimal side effects.

What is the best herbal treatment for lichen planus?

These include Aloe barbadensis (aloe vera) gel; Curcuma longa (turmeric) rhizome; curcumin; Potentilla tormentilla (tormentil) herb; Portulacca oleracea (purslane) leaf; Glycyrrhiza glabra (licorice) root; Tripterygium wilfordii (thunder god vine) root; Althaea officinalis (marshmallow) leaf or root; Alcea rosea ( …

Can lichen planus affect face?

Lichen planus often affects the inside of the cheeks and the gums, and this can be seen in about 50% of people who have it on the skin (see Patient Information Leaflet on Oral Lichen Planus).

Is there a blood test for lichen planus?

Your healthcare provider or dentist may diagnose lichen planus based on the changes on your skin or in your mouth. To make sure of the diagnosis, you may need these tests: Blood test. This can rule out other causes of your symptoms.

Is lichen planus related to diabetes?

Background: Oral lichen planus (OLP) is associated with various other systemic conditions such as hypertension, diabetes mellitus (DM). This study evaluated the prevalence of OLP in DM patients compared with non-diabetic control subjects in a meta-analysis study.

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