Lichen Planus

Lichen planus is a persistent, inflammatory skin disorder with thicker skin patches. This condition has multiple forms, although they all fall under lichenoid skin disorders.
 

Lichenoid conditions affect around one in every hundred individuals worldwide. Lesions occur on the skin or mucosal surfaces and frequently cause severe itching.
 

Many cases of lichen planus resolve on their own over some time (maybe years); however, some lichenoid disorders can linger for decades. The possibility of spontaneous recovery exists, but it is uncertain. Scarring is permanent and might result in complete baldness of the scalp.
 

Women in their 50s and 60s are the most likely to get lichen planus; nevertheless, it can affect women of any age. The most common lichen planus symptoms are soreness, burning, and, less commonly, an itch. Occasionally, the condition is entirely asymptomatic and is discovered during a routine exam. If one is suffering from lichen planus and looking for lichen planus treatment in Bangalore, one must consult Dr. Rajdeep Mysore at Charma Clinic.


Cause of Lichen Planus
 

The specific etiology of lichen planus is unknown; however, it is assumed to be caused by a defect in one’s immune system, and it is frequently encountered in conjunction with other autoimmune conditions, such as thyroid disease. A type of lichen planus can develop as a side effect of some drugs.
 

What are the symptoms of Lichen planus?

Most individuals with lichen planus complain of vu-lvar or vagi-nal pain, a burning sensation, or, less commonly, an itch. The condition can affect only the vu-lva or, in around half of the cases, both the vu-lva and the vagi-nal skin. The skin of the vu-lva may appear glazed or even corroded, and it may appear moist and red in connection with this glazed aspect. It's almost as if the vu-lva's skin is covered with glass.
 

Because the most prevalent type of lichen planus on the vu-lva, known as erosive lichen planus, is connected with loss of architecture or skin fusion, patients may also notice the removal of the skin of the labia minora or some scar tissue, particularly scar tissue that may cover the clito-ris.
 

Intercourse can be painful, mainly if there are erosions at the vag-inal opening or within the vag-ina. These erosions may be connected with bleeding after intercourse.
 

On rare occasions, the skin may have a thicker appearance or areas of plaque formation, and it can be difficult to distinguish these plaques from an early form of skin cancer. In this situation, a biopsy under local anaesthesia may be required. If a person has lichen planus on the skin of other regions of the body, the rash is usually purple and may be quite fine with some white streakiness. The streaky white areas resemble lacy patterns.
 

Consult more on this issue with Best Lichen Planus Treatment Doctors in Bangalore at Charma Clinic. The doctors at the clinic help determine the root cause of the concern and provide treatment based on one’s unique needs. Book an appointment to learn more!

How is lichen planus diagnosed?

Lichen planus can be diagnosed since it has a characteristic appearance, and there is little uncertainty regarding the diagnosis in this case. A biopsy under anaesthesia may be required if the lichen planus has a unique look, such as plaque or ulceration. The doctor will always examine the skin with a sophisticated digital microscope to aid in the diagnosis and will always numb the skin thoroughly before taking a sample.
 
Lichen planus of the Skin
 

The lichen planus of the skin is distinguished by reddish-purple, flat-topped pimples that may be irritating. They can appear anywhere on the body but prefer the inside of the wrists and ankles. In a few cases, the condition can also affect the scalp, nails, legs, lower back, neck, and genital areas. Lichen planus on the legs is typically significantly darker in appearance. There may be thick patches (hypertrophic LP), particularly on the shins. Blisters are highly uncommon. While the usual appearance of Lichen planus makes the condition reasonably easy to diagnose, a skin sample may be required to confirm the diagnosis.
 
Lichen planus of the skin typically causes few complications and does not require treatment. There is a relief for acute itching. Many lichen planus cases resolve within two years. Lichen planus often results in a dark brown discoloration on the skin as it heals. Like the bumps themselves, these stains may dissipate with time if not treated. Approximately 20% of people will experience a second lichen planus attack.
 
Treatment for Lichen Planus of the Skin
 

Although Lichen planus has no proven treatment, therapy can often reduce irritation and improve the rash's appearance until it disappears. Because each case of Lichen planus is unique, only some treatments are ideal. The most commonly used treatment is topical corticosteroid cream. More severe cases of lichen planus may necessitate more vital treatments such as oral cortisone, antibiotics, or phototherapy. Consult a dermatologist about any potential drug side effects. Avoiding injury is essential since new patches of lichen planus can form on any injured skin.
 
Lichen Planus of the Mouth
 

Lichen planus of the mouth most usually affects the inside of the cheeks, although it can also affect the tongue, lips, and gums. Oral lichen planus is more challenging to treat and usually lasts longer than skin lichen planus. Fortunately, many occurrences of lichen planus of the mouth are minor. Skin lichen planus affects about 20% of oral lichen planus patients.
 
Oral lichen planus commonly manifests as patches of thin white lines and spots that do not cause difficulties. Dentists frequently discover them during routine check-ups. More severe cases of oral lichen planus can result in painful mouth ulcers and sores. A dermatologist may need to confirm that the sores are not caused by yeast or infection and are not canker sores. A biopsy of the afflicted tissue is sometimes required to confirm a diagnosis.
 
There have been rare occurrences of lichen planus-like allergic reactions to dental materials. Specialised patch testing may be used; removal of tooth material may be advised to pinpoint the allergy.
 
Treatment for Lichen planus of the Mouth
 

Numerous therapies are available to alleviate soreness. Treatment may not be required if the condition causes no pain or burning. Several medications can be used to treat more severe cases of lichen planus, including those characterised by pain, burning, redness, blisters, sores, and ulcers. Lichen planus, like any disease of the oral lining, may result in poor dental hygiene and gum disease. It takes work to maintain good dental hygiene daily. Schedule a visit at Charma Clinics to get the best oral lichen planus treatment in Bangalore.
 
Lichen Planus of the Genitals
 

There may be no concern if it is mild, but red spots or open sores may cause pain, especially during sexual intercourse, and must be treated. There are effective treatment options, so discuss genital involvement with a skin doctor in Bangalore.

FAQ's

Does Lichen planus involve nails, also?

In Lichen planus, nail changes have been reported. Typically, only a few fingernails or toes have been affected, but this happens occasionally. Changes in the nails can occur with or without skin involvement.
 
Longitudinal ridging and grooving, cracking, nail thinning, and nail loss are all symptoms of Lichen planus. In severe circumstances, the nail may be permanently or temporarily destroyed. For more information on nail lichen planus treatment in Bangalore, pay a visit to Charma Clinics.

Does lichen planus involve the scalp also?

In rare situations, lichen planus might affect hairy areas like the scalp. This condition is known as lichen planopilaris, and it can cause redness, inflammation, and, in some cases, irreversible hair loss.

Is this disease contagious?

Lichen planus is not caused by any microbe, bacteria, virus, or fungus. The disease does not spread by touch, sharing dishes, or by any sort of physical contact.

Can children be affected by this?

Yes, children as young as three years of age can suffer from this issue.


I have it on my mouth and even my legs. Can it spread to my other parts of the body?

Yes, this condition can occur anywhere on the skin, like the scalp, legs, mouth, back, and feet. It can also affect nails and genitals.
 
To get to know more about lichen planus treatment cost in Bangalore, pay a visit to Charma Clinics, the best dermatology clinic in India.

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Charma Clinic

The word Charma means skin in Sanskrit and other Indian languages. Charma was conceptualised in the summer of 2013 as a centre to treat dermatological problems. It was started in Chirag Hospital, a small nursing home in South Bengaluru.

Charma Clinic

Chirag Hospital, 3rd floor, #1635, 17th main, J P Nagar 2nd phase, Bengaluru - 560078

Clinic Timings

Monday to Saturday : 9.30AM to 7.30PM
Sunday : Closed!