Lichen planus is a disease of the skin characterized by multiple, violet - brown colored, severely itchy elevated lesions seen on the limbs and trunk. Oral cavity, genitals, nails and scalp may also be affected.
Causes for Lichen Planus
The exact cause of the inflammation that leads to lichen planus is unknown. Some of the factors that might be related to lichen planus are:
- Patients with extensive lichen planus seem to be more likely to have a Hepatitis C virus infection of the liver.
- Some drugs, such as arsenic, bismuth, or gold, can produce an eruption which appears identical to lichen planus.
- Reaction to metal filling in your teeth.
- Diabetes mellitus may be associated with oral lesions.
Clinical presentations
- Lesions are flat-topped violet to brown spots a few millimeters in diameter on the skin that are severely itchy. These lesions are more prominent on the limbs.
- Atrophic lichen planus produces slightly depressed lesions that otherwise resemble typical lichen planus.
- Lichen planus may involve the scalp, producing a permanent, scarring type of balding.
- Nail malformation may be produced by lichen planus.
- Genital lichen planus - Lesions on the genitalia, present in both males and females.
- Actinic lichen planus - Sunlight being the trigger factor, the lesions here are seen on sun exposed areas of the body.
Clinical presentations
The diagnosis is made after thorough examination of the lesions under magnifying instrument and dermatoscope. Confirmation of diagnosis is done by histopathological examination of the lesions and immunofluorescence study.
Lichen planus runs a long course over months to years with relapses in few people.The condition is treated depending on the size, number and location of the lesions. Topical creams, anti histamines, oral steroids, systemic retinoids, cyclosporines and PUVA are few of the treatment modalities given for lichen planus.
Doctors at 4 Senses Clinic take history patiently, examine the patient thoroughly and diagnose the condition with minimal and necessary investigations. After finding out the root cause of problem, they provide accurate treatment. The doctors also counsel on how to prevent further recurrences. If you are looking at treatment for lichen planus, contact Call:6366494494