Treatment for Lichen Planus: Is There an Alternative to Steroids?

Reviewed by Dr. Sourabh Welling, Founder

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Lichen planus is easy to recognise by its violet-coloured, flat-topped, itchy bumps, which set it apart from eczema and psoriasis. It can appear on the skin, inside the mouth, on the nails and scalp, and on the genitals. How itchy it is differs from person to person.

Causes

Lichen planus is thought to be an immune-mediated condition. It can be triggered or worsened by stress, certain medicines, hepatitis C infection and, in the mouth, by dental materials or injury. It is not contagious.

Signs and symptoms

  • Skin: shiny, purplish, flat bumps with fine white lines, usually on the wrists, ankles and lower back
  • Mouth: white lacy patches, sometimes with painful sores
  • Genitals: itchy, red or white patches
  • Nails and scalp: ridging, thinning of nails, and scarring hair loss

Conventional treatment

Topical corticosteroids are the usual first treatment, with antihistamines for itching, and phototherapy, retinoids or immune-suppressing medicines for more persistent cases. The condition may last from months to a few years, and treatment is continued as long as it is needed.

Is there an alternative to steroids?

Homeopathic treatment takes an individualised approach, looking at the person’s overall health, stress, sleep and skin type, and may be used alongside or after discussion with your dermatologist. Please do not stop prescribed steroids suddenly; any change should be made with your doctor. Persistent mouth sores should always be examined, because oral lichen planus needs periodic follow-up.

Learn more

To discuss your situation with a Welling Homeopathy doctor, contact a clinic or call +91 80 80 850 950 for a consultation in person or online.

Disclaimer: this page is for information only and is not a substitute for professional medical advice, diagnosis or treatment. Results vary from person to person.

Dr. Sourabh Welling, founder of Welling Homeopathy

Reviewed by

Dr. Sourabh Welling — Founder

Dr. Sourabh Welling is a practicing homeopathy doctor and founder of Welling Homeopathy, Mumbai, with 24 years of clinical experience. A multiple award winner at national and international levels, he focuses on individualized homeopathic care for chronic and complex health conditions. He leads a team of experienced doctors providing personalized consultations based on each patient’s symptoms, health history and individual circumstances.

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