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Cure for Lichen Planus

Lichen Planus is a common inflammatory disease that causes a rash of the skin and sometimes the mouth. According to the American Academy of Dermatology, lichen planus affects 1 to 2 percent of the population. It can start gradually or appear quickly. Although it may last for months or even years, it usually clears up in about 18 months.

  1. Causes

    • It is unknown what causes lichen planus, but it may be the result of stress or exposure to hepatitis C. Genetics may also be a factor. Occasionally, lichen planus develops as a result of exposure to dyes and chemicals. There are theories that it may be an autoimmune or allergic reaction. Drugs for high blood pressure, heart disease, and arthritis may cause symptoms similar to lichen planus, according to the American Osteopathic College of Dermatology. Lichen planus occurs in both sexes, most often between the ages of 30 and 70. It is not a common condition of children. There is an inherited form of lichen planus that can be severe and long-lasting. Lichen planus is not an infectious condition.

    Symptoms

    • The primary symptom of lichen planus is an itchy rash. The itching is usually constant and severe. Lichen planus can appear anywhere on the body, including the mouth, genital region, fingernails, toenails, and scalp. Lichen planus appears as small papules clustered into large, flat-topped lesions. The lesions are sometimes covered with fine white scratches or streaks. The papules (bumps) appear reddish-purple. Blisters and ulcers may also develop. Less commonly, lichen planus may occur in the mouth, usually on the insides of the cheeks. Oral lichen planus resembles small white pimples or fine white lines, and usually lasts longer than lichen planus of the skin. Blood tests and tissue biopsies may be needed to confirm a diagnosis of lichen planus.

    Treatment

    • Lichen planus cannot be cured, but with treatment symptoms may become more manageable. Treatment is aimed at minimizing itching and soothing the rash. Topical treatments include corticosteroid creams and ointments, retinoic acid creams, dressings or wraps to prevent scratching of the lesions, and an ultraviolet light treatment call PUVA. Lidocaine mouth washes may be used for oral lichen planus. Medications taken internally may be needed as well. Cyclosporine (an immune-suppressing medication), oral corticosteroids such as Prednisone, antihistamines, and anti-inflammatory drugs may all help reduce itching. For severe cases retinoid drugs such as Soriatane and Neoral may be prescribed. Most people will only have an outbreak of lichen planus once, but 20 percent will have another attack.

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