Treatment FAQ

what works best for lichen planus treatment

by Tanner Beier Published 2 years ago Updated 1 year ago
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The first choice for treatment of lichen planus is usually a prescription corticosteroid cream or ointment. If that doesn't help and your condition is severe or widespread, your doctor might suggest a corticosteroid pill or injection.Mar 9, 2021

Medication

Treatment

  • Symptomatic treatment. Treatments such as topical numbing agents can be used to provide temporary relief for areas that are particularly painful.
  • Corticosteroids. Corticosteroids may reduce inflammation related to oral lichen planus. ...
  • Immune response medicines. ...
  • Dealing with triggers. ...

Self-care

Prednisone has an average rating of 9.0 out of 10 from a total of 6 ratings for the treatment of Lichen Planus. 100% of reviewers reported a positive effect, while 0% reported a negative effect. 6 ratings from 6 user reviews. Compare all 34 medications used in the treatment of Lichen Planus.

Nutrition

  • For lichen planus on the skin, apply a paste of turmeric powder and water on the affected areas and rinse it off after 15 minutes.
  • For oral lichen planus, the above-mentioned study made a turmeric ointment using 10 parts of alcohol to 1 part powder.
  • Add turmeric powder to your dishes.

What are the treatment options for widespread lichen planus?

Outlook / Prognosis What is the outlook for lichen planus? A majority of cases of lichen planus go away within 1 year if it is just on the skin. If involving the mouth the rash may be more severe, take longer and require treatment. Get useful, helpful and relevant health + wellness information enews

Can prednisone help someone with lichen planus?

How can turmeric help in lichen planus?

What is the prognosis of lichen planus?

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What is the fastest way to cure lichen planus?

Lichen planus has no cure, but different treatments can help relieve your symptoms and speed healing. Possible treatments include: Antihistamine medicine to relieve itching. Steroids on your skin or in your mouth to fight inflammation (You may also take steroids in pill form for severe cases)

What Cream helps lichen planus?

Corticosteroid creams and ointments Topical corticosteroids help treat the swelling (inflammation) and redness caused by lichen planus. Strong topical corticosteroids, such as clobetasol propionate, are also effective in reducing any itchiness you may have.

Are there any new treatments for lichen planus?

Hydroxychloroquine- A new treatment option for erosive oral lichen planus.

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.

What vitamins help 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.

Is lichen planus a fungus or bacteria?

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. The present study was designed to evaluate the association of LP and H.

What autoimmune disease causes lichen planus?

Etiology of Lichen Planus Lichen planus (LP) is thought to be caused by a T cell–mediated autoimmune reaction against basal epithelial keratinocytes in people with genetic predisposition.

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.

Is sunlight good for lichen planus?

If the lichen planus is on the regular skin and not very severe, treatment is often not needed. If the lichen planus is caused by the sun (some cases of lichen planus pigmentosus), a strong sunscreen (sun protection factor [SPF] 50 or higher) should be used daily.

Is lichen planus caused by stress?

Factors such as stress and psychological problems, especially depression and anxiety, have been mentioned as etiologic factors in lichen planus.

How does turmeric treat lichen planus?

conducted study on patients of clinically and histological diagnosed oral lichen planus. Turmeric ointment was given to apply topically 2 times a day for 3 months, significant improvement was observed in clinical symptoms [5].

What happens if lichen planus goes untreated?

Oral sores may affect your ability to eat. 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.

What is Lichen Planus?

Lichen planus is a lichenoid, non-infectious inflammatory skin disorder. It typically presents as an itchy or burning eruption with purple discolouration in the form of discrete papules coalescing into plaques. Lichen planus is a skin disease characterized by scaly and itchy lesions. It causes significant pain, burning, or tingling sensations. It is usually self-limiting, and lichen planus resolves without treatment within two years. It may recur periodically throughout life due to triggers such as sunlight or stress. It doesn’t really affect your breathing so most cases are milder than other types of dermatitis; however chronic sufferers should still consult their doctor because there’s no telling what else could happen if left untreated over long periods.

How is Lichen Planus Diagnosed?

In most cases, the diagnosis of lichen planus is based on how it looks. The doctor often wants to take a sample of the skin for testing to be sure that everything is okay. The tissue will look like it has been reacting to something and will show up in a few different ways:

What Are The Symptoms of Lichen Planus?

Lichen planus may cause a small number or many lesions on the skin and mouth.

What Happens To Untreated Lichen Planus?

Lichen planus is a disease. It often goes away in a couple of years, but it might take a decade or longer for mucosal lichen planus. Spontaneous recovery is unpredictable and lichen planus may come back at any time. There is no cure for lichen planus, and the scars are permanent, including balding of the scalp.

How many people have lichen planus?

Lichen planus is a skin condition that affects one in every hundred people worldwide. Most are adults over the age of 40 years, but oral lichen planus more often occurs in women than men and about 10% have nail lichens which occur most frequently among those with diabetes mellitus or chronic renal failure.

Where do lichen planus bumps appear?

It will have bumps that are flat-topped, shiny, and purple to grey in colour. The bumps tend to occur at the wrists and elbows and ankles. When lichen planus affects the mucous membranes of the lips or cheeks, these white filmy eruptions clear up slowly when you stop taking the medication that caused it.

Can lichen planopilaris cause eyebrow scarring?

It can be a form of lichen planus that affects the forehead and eyebrows too. Lichen planopilaris maybe like pseudopelade of Brocq, which is where you get small areas of scarring without hair. If you have this skin condition, your doctor may prescribe some medicine for it.

What Is The Best Treatment For Lichen Planus?

In mild cases, symptoms may be minimal or absent and no therapy may be needed.

What is Lichen Planus?

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). Lichen planus is a relatively common disorder, estimated to effect 0.5% to 2.0%of the general population. It is a chronic inflammatory disease affecting mucosal and cutanous tissue. Oral lichen planus occurs more frequently than the cutanous form and tends to be more resistant to any treatment.

What Are Symptoms of Lichen Planus?

Some of the most common symptoms of lichen planus include the following:

Where are the lichen planus spots?

These spots tend to be located on the inner wrists, forearms, the lower legs just above the ankles, and the lower part of the back.

Can lichen planus be caused by drugs?

Some drugs, such as those containing arsenic, bismuth, or gold, can produce an eruption which appears identical to lichen planus. Exposure to certain chemicals used in the development of color photographs can also produce a similar rash. The long-term use of the drugs quinacrine or quinidine (Quinidine Gluconate, Quinidine Sulfate), may produce hypertrophic lichen planus of the lower legs. Lichenoid eruptions can occur in graft-versus-host disease in people who have received bone marrow transplants. Tissue examination by a pathologist (biopsy) is frequently necessary to distinguish such lichenoid drug eruptions from classical lichen planus. Of course, stopping the offending drug is associated with resolution of the eruption.

Can hepatitis C cause lichen planus?

The cause of lichen planus is unknown. In certain locales, patients with extensive lichen planus seem to be more likely to have a hepatitis C virus infection of the liver. However, it seems unlikely that the virus is the cause of lichen planus in such situations.

Is lichen planus more resistant to treatment?

Oral lichen planus occurs more frequently than the cutanous form and tends to be more resistant to any treatment. Less commonly, LP may also involve the genitals (penile or vulvar LP), scalp (lichen planopilaris), ears (otic LP), nails, eyes, and esophagus. Similar to lichen found growing on trees and rocks in forests, ...

How to treat lichen planus?

In addition to regular medical and dental treatment, self-care measures may help improve your oral lichen planus symptoms or help prevent recurring episodes of severe symptoms: Practice good oral hygiene. Keep your mouth clean to reduce your symptoms and help prevent infection.

What is the best treatment for oral lichen planus?

Corticosteroids. Corticosteroids may reduce inflammation related to oral lichen planus. One of these forms may be recommended: Topical. Mouthwash, ointment or gel is applied directly to the mucous membrane — the preferred method. Oral. Corticosteroids are taken as a pill for a limited amount of time. Injection.

What doctor treats lichen planus?

Depending on your symptoms, you may be referred to a specialist in skin diseases (dermatologist) or a specialist in gum and dental diseases (periodontist).

What lab test is needed to determine if you have lichen planus?

Examination of your mouth, and other areas as appropriate. He or she also may request lab tests such as: Biopsy. A small tissue sample is taken from one or more lesions in your mouth and examined under a microscope to look for indications of oral lichen planus. Other more specialized microscopic tests may be needed to identify immune system ...

What is the purpose of a blood test for lichen planus?

Blood tests. These may be done to identify conditions such as hepatitis C , which may rarely be associated with oral lichen planus, and lupus, which may look similar to oral lichen planus.

What test is used to identify lichen planus?

Other more specialized microscopic tests may be needed to identify immune system proteins commonly associated with oral lichen planus. Cultures. A sample of cells is taken from your mouth using a cotton swab.

Is there a cure for oral lichen planus?

Oral lichen planus is a chronic condition. There is no cure, so the treatment focuses on helping severe lesions heal and reducing pain or other discomfort. Your doctor will monitor your condition to determine the appropriate treatment or stop treatment as necessary.

How do dermatologists treat lichen planus?

There is no cure for lichen planus. It often goes away on its own. If symptoms are bothersome, treatment often brings relief and may speed healing. Treatment for the skin may include:

How long does it take for lichen planus to go away?

Many cases of skin lichen planus go away within two years. About one in five people will have a second outbreak. In some people, the skin problem may come and go for years.

How to tell if you have lichen planus?

A dermatologist often can tell whether you have lichen planus by looking at your skin, nails, and mouth. To make sure that you have lichen planus, a dermatologist may remove a bit of skin. This skin will be examined under a microscope to make sure. Your dermatologist may call this a biopsy.

What is the best treatment for redness and swelling?

Topical (applied to the skin) corticosteroid: Cream or ointment to reduce swelling and redness

Do lichen planus spots go away?

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. Lichen planus in the mouth often lasts longer than lichen planus on the skin. In the mouth, it can be harder to treat.

Can Lichen Planus cause pain?

Ask your dermatologist about possible side effects (health problems that can result from the medicines). When lichen planus develops in the mouth, it often does not cause pain or other symptoms. If this is the case, treatment may not be necessary.

How to treat lichen planus?

Coconut Oil. For oral lichen planus, coconut pulling twice a day may improve the symptoms and provide relief. The process helps to detoxify your mouth by literally sucking out the toxins. Benefits include killing bad breath, soothing a dry mouth, reducing inflammation, and boosting the immune system.

What is the most common type of lichen planus?

Reticular is the most common type to appear in the mouth; however erosive, bullous and atrophic types can also appear. With reticular, the inside of the cheeks will have the iconic white web-like pattern while with erosive lichen planus, the gums, cheeks or tongue will appear bright red and inflamed. ( 6) Also, fluid-filled lesions and blisters of bullous lichen planus can appear on the cheeks, tongue, roof of the mouth and gums.

How many people have lichen planus?

As a matter of fact, lichen planus affects both men and women, but it most often occurs in women during perimenopause. ( 3)

Where does lichen planus develop?

Lichen Planus of the Genitals. In fact, the four types of lichen planus described above do commonly develop in and around the genitals. In men, rashes appear around the glands of the penis, or the shaft. For women, it can affect the skin around the genitals, as well as the vulva and vagina.

Where do lichen planus rash papules appear?

In this type of cutaneous lichen planus, papules most commonly appear on the trunk or legs. It can also affect other areas that have had previous lichen planus outbreaks. The hallmark of this type is that the rash features tissue that has atrophied or broken down in the center of whitish blue papules.

Where is bullous lichen planus most common?

They are most common in the lower limbs and mouth. Atrophic lichen planus is the rarest form of lichen planus.

Is lichen planus contagious?

( 1) As stated by the American Academy of Dermatology (AAD), while the rash is unsightly and uncomfortable, this condition is not considered serious, nor is it contagious.

What is the best treatment for lichen planus?

Some lichen planus home remedies include: Some lichen planus medications and other treatments include: Topical prescription corticosteroid cream or ointment to treat bumps on the skin. Even after treatment, lichen planus may recur, especially if it’s affecting mucous membranes in the mouth or vagina.

How to diagnose lichen planus?

It’s important to get lichen planus diagnosed by a doctor, usually with a biopsy, to make sure the rash isn’t caused by a different medical condition. Oral lichen planus can sometimes be an early sign of oral cancer, so be sure to talk to your doctor about your symptoms.

How long does it take for lichen planus to go away?

Lichen Planus Treatment. Even untreated, lichen planus usually clears up on its own, although it could take months or years to completely go away. There’s no cure for lichen planus, but home remedies or medication can treat symptoms and help you heal.

What is lichen planus?

34. Getty. Lichen planus is a skin disease that causes itchy bumps or sores on the skin, mouth or genitals. The cause of lichen planus isn’t well understood, but the condition isn’t contagious. It most often occurs in middle-aged people, particularly women. Lichen planus treatment options depend on where the bumps or sores have developed ...

Can lichen planus cause a swollen gum?

In severe cases, oral lichen planus may cause swelling or peeling on the gums. Genitals: Painful sores or itchy bumps may appear in the vagina. Nails: Lichen planus can develop on just a few or all of the nails, either fingernails or toenails. It can look like grooves and cause thinning or splitting of the nails.

Can lichen planus cause hair loss?

Severe cases may cause permanent loss of the nail. Scalp: Lichen planus on the scalp may cause thinning hair, hair loss, or a change in hair color. This form of lichen planus is rare.

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Diagnosis

Treatment

Clinical Trials

Alternative Medicine

Medically reviewed by
Dr. Aakash Gupta
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment helps to manage the symptoms but cannot be cured.
Medication

Corticosteroid creams: Reduces inflammation and redness. Cream is applied directly on the itchy spots.

Clobetasol propionate


Immunosuppressants: Drugs that reduce immune response may be prescribed.

Cyclosporine

Self-care

Always talk to your provider before starting anything.

  • Avoid spicy foods and acidic causing foods, such as citrus fruit juice, because they can irritate oral lichen planus.
  • Avoid sharp food, such as crusty bread.
  • Avoid drinking alcohol, particularly spirits.
  • Avoid using mouthwashes that contain alcohol.
  • Keep the mouth as clean as possible.
  • Clean the teeth using a mild toothpaste that does not include sodium lauryl sulfate (a foaming agent).

Nutrition

Foods to eat:

  • No foods are known to cause the condition. Good healthy diet and regular exercise is recommended.
  • Folic acid rich foods like green vegetables may prevent dry skin.
  • Diet rich in fruits and vegetables
  • Eat soft and bland food
  • Consume adequate water to maintain good hydration.

Foods to avoid:

  • Avoid excess of salty and spicy foods
  • Avoid sour and acidic foods, vinegar, tamarind, refined flours.
  • Avoid crispy foods

Specialist to consult

Dermatologist
Specializes in the study of the skin and its disorders.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Preparing For Your Appointment

  • Your doctor makes a diagnosis of lichen planus based on your symptoms, your medical history, a physical examination and, if necessary, the results of lab tests. These tests may include: 1. Biopsy.Your doctor removes a small piece of affected tissue for examination under a microscop…
See more on mayoclinic.org

Diagnosis

  • Lichen planus on the skin often clears up on its own in months to years. If the disease affects your mucous membranes, it tends to be more resistant to treatment and prone to recur. Whatever treatment you use, you'll need to visit your doctor for follow-up appointments about once a year. Medications and other treatments might help relieve itching, ease pain and promote healing. Th…
See more on mayoclinic.org

Treatment

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Lifestyle and Home Remedies

  • A couple of small clinical trials have suggested the benefit of aloe vera gel for treating lichen planus of the mouth and vulva. Look into alternative medicine approaches that help reduce stress, as stress can worsen the signs and symptoms of lichen planus. Talk with your doctor before trying an alternative treatment for lichen planus. Some alternative medicines or vitamin supplem…
See more on mayoclinic.org

Preparing For Your Appointment

  • You'll likely start by seeing your primary care doctor. He or she may refer you to a doctor who specializes in skin diseases (dermatologist). Here's some information to help you get ready for your appointment.
See more on mayoclinic.org

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