Lichen Planus

Overview of Lichen Planus

Lichen planus affects 1 in 100 people globally, on which oral lichen planus is the most common in the population. It can be treated by medications and home remedies as well.

Signs and Symptoms of Lichen Planus

Lichen planus also known as (Jild ki bemariyon me se aik qisamجِلدکی بيمارِيوں ميں سے ايکقسم) is the inflammation (swelling and irritation) of skin, hair, nails and mucous membranes. Once the skin gets affected by lichen planus, it usually appears as a purplish, itchy, flat lesion for several weeks. Other areas like the mouth, vagina, etc. are surrounded by mucous membranes in which white lacy painful patches or lesions appear.
Typically, lichen planus can be managed at home, without prescription drugs. So, you can try to relieve this disease with home-made ingredients. It is not contagious like other skin diseases.

Lichen Planus Prevalence

About 1 in 100 people suffer from Lichen planus worldwide, mostly affecting adults over the age of 40 years. Among all types of lichen planus, about half of the population suffer from oral lichen planus and is more prevalent in women than in men. Almost 10% of lichen planus affects the nails mostly.

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Types of Lichen Planus

Some of the most common symptoms of lichen planus are listed below:

  • Purplish coloured blisters with flat tops on the skin or genitals
  • Blisters spread all over the body after several weeks and months
  • Feeling itchy at the specific rash area
  • Painful lacy white blisters inside the mouth that cause a burning sensation
  • Scaly like skin due to bursting of blisters
  • Thin white lines on the area of rash

The duration of blisters appearing on skin can be several weeks to months. The visible blisters may spread to other areas. Individuals usually get rid of this condition within 6 to 16 months.
Besides the skin or genitals, the blisters can also less commonly appear on following areas:

  • Mucous membranes
  • Nails
  • Scalp

Causes of Lichen Planus

There are various types of Lichen planus depending on the affected area and the characteristics of purple lesions.
Following are the types of Lichen planus and how they affect a person.

  • Hypertrophic Lichen planus- In this type, small purple lesions appear n arms, hands, legs, feet and ankles. It can cause severe itchiness. After removal of lesions, it can leave pigmentation marks and residual scars.
  • Atrophic Lichen planus- It can occur anywhere on body especially legs and trunk area. It appears as pale plaque with central disruption of tissues.
  • Erosive Lichen planus- It can cause ulcer formation. It affect the mucosal surface of mouth (oral lichen planus) and genital area (vulval-vaginal lichen).
  • Follicular Lichen planus- Also known as follicular planopilaris, it is a rare inflammatory condition that mainly cause permanent hair loss particularly on the scalp. It also causes scarring on the skin. It appears as formation of keratotic plugs on the nails and hair.
  • Annular Lichen planus- This too, is a rare form of lichen planus and it affects mostly mouth or skin. In this condition, affected people develop slightly raised, ring shaped, purple lesions with no tissue breakdown (central atrophy).
  • Linear Lichen planus- In this type, affected people would develop itchy purple flat-topped papules linearly along with black lines appear on anywere in the body but majorly on arms and legs.
  • Vesicular and Bullous Lichen planus- In this form, lesions appear on the limbs or in the mouth from preexisting Lichen planus.
  • Actinic Lichen planus- In this condition, a person develop discoid patches with hypopigmented zones around a hyperpigmented centre that can appear on nails, scalp, mucous membranes and covered areas of the body.
  • Lichen planus pigmentosus- This condition mostly affect the face and nek region of our body.
  • Lichen planus pemphigoides- It is a combination of lichen planus and bullous pemphigoides. It appears as purple coloured shiny flat topped firm lesions that appear on the lichen skin or normal skin. It can affect any part of the body.
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Risk Factors of Lichen Planus

Following are the associated causes of lichen planus that may be possible but still researchers are still finding the exact cause.

  • Hepatitis C triggers the lichen planus
  • Some medications such as drugs for the treatment of high blood pressure, diabetes, heart disease, and malaria
  • Metal-filling reactions inside the teeth
  • An autoimmune disorder in which the body's defence mechanism attacks the immune system on its own. Due to this, skin cells and mouth are affected.

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Prevention

People who are susceptible to lichen planus may have following possibilities:

  • Had a family History
  • Allergic to certain chemicals
  • Hepatitis C affected people

Below are the factors that enhance the lichen planus through different chemicals, medications etc.

  • Antibiotics
  • Arsenic
  • Gold
  • Iodide compounds
  • Drugs like diuretics, diabetic, hypertensive, etc.
  • Certain kinds of dyes
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Diagnosis

There are no known ways to prevent lichen planus. However, good lifestyle habits, avoiding injuries and scratching are some of the ways that can make your disease manageable.

Treatment of Lichen Planus | When to Consult a Doctor

Dermatologists ask the questions from the patients to collect the medical and family history. On the basis of it, the doctors further proceed the diagnosis through various lab tests. General lab tests of lichen planus are as follows:

  • Skin Biopsy: In this test, firstly scrap a small fragment of affected tissues from the skin and examine it under a light microscope. This helps to determine the specified cell patterns of lichen planus
  • Hepatitis C test: It is an activator of lichen planus that’s why doctors usually recommend this test in some people.
  • Allergy tests: This test usually recommends diagnosing any allergy in patients that may trigger the lichen planus.

A doctor may recommend other tests if they suspect any variations of lichen planus such as areas affecting oesophagus, genitals, ears or mouth.

Doctors to treat Lichen Planus

Last updated on Wednesday 23/11/2022

Doctor

Dr. Asif Rauf

Cosmetologist, Dermatologist | MBBS

Cosmolux ( The Hair & Skin Clinic )Rs 2000

8

Today’s Slots

97%

Satisfaction Rate

12

Years

Highly Recommended

Doctor

Dr. Farrukh Aslam

Cosmetologist | MBBS, FCPS, BFIRST Fellow, MRCPS, FACS

LaForma ClinicRs 1500

8

Today’s Slots

97%

Satisfaction Rate

17

Years

Dr farukh is a kind man he listen whatever i said and then he diagnosed me the treatment of my issue

Doctor

Dr. Aamir Chhipa

Cosmetologist, Dermatologist | MBBS, DCDD

Dr Aamir Skin ClinicRs 1000

7

Today’s Slots

98%

Satisfaction Rate

22

Years

I am very satisfied with the overall doctor's experience.

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