What is Lichen Planus?

What is Lichen Planus?

( Go here for details of complete treatment of lichen planus )

• It is an autoimmune condition in which there is a chronic recurrent rash that is due to inflammation. Rash is characterized by small,flat-topped,many-sided bumps that can grow together into rough,scaly plaques on the skin .There may also be rash in the lining (mucous membrane) of mouth and vagina.Females are more frequently affected as compared to male

• CAUSES OF LICHEN PLANUS:-It is considered to be  an autoimmune disease in which the body’s protective cells attack the body’s own tissues mistaking them to be foreign in nature.Triggering factors are:
  • Hepatitis C infection
  • Hepatitis B vaccine
  • Flu vaccine
  • Certain pigments, chemicals and metals
  • NSAIDs

SYMPTOMS OF LICHEN PLANUS

-Slow onset

-Purpulish or flat topped bumps,most often on the inner forearm,wrist or ankle but sometimes on external genitals.

Rough,oily look of lesions

-Itching

-Bleeding may be present on scratching

-White spots or patches in the mouth (inside the cheeks or on the gums,lips or tongue),burning in mouth while eating spicy food.

-Painful oral or vaginal ulcers

-Hair loss and scalp discoloration

-Nail damage or loss

Lichen planus affecting nails-

It can affect nails in about 10% cases.The majority of nail changes results from damage to the nail matrix or nail root,Commonly two or three fingernails or toenails are involved.Nail changes are;

• Longitudinal ridging and grooving
• Pitting
• Nail thinning
• Fragile
• Brown discoloration
• Depression of the nail plate
• Inflammation of proximal nail folds which becomes erythematous
• Skin of fingertips shows a honeycomb appearance due to multiple,small,punctuate and hyperkeratotic depressions.
  

  TYPES OF LICHEN PLANUS

1.Lichen planus hypertrophicus-It manifests as large, itchy, voilaceous ,hyperkeratotic papules and plaques on the anterior surface of legs.

2.Lichen planus atrophicus-It presents as an annular area having atrophic,hyperigmented centre and active erythematous 1-2mm thick,raised border.usually seen on the face and dorsum of hands.

3.Lichen plano-pilaris-It manifests as itchy,violaceous papules present at the openings of hair follicles.It results in loss of hairs.Commonly seen on legs and arms.

4.Actinic lichen planus-In this annular grouped micropapular lesions are situated on the exposed parts of body like extensor sufaces of forearms and hands.They are aggravated on exposure to sunlight.

5.Linear lichen planus-In this lesions of are distributed in a linear fashion.

6.Bullous lichen planus-In this bullse are situated on the voilaceous base resembling lichen planus.

• DIAGNOSIS OF LICHEN PLANUS

1.Biopsy-During a punch biopsy test there is removal of small section of skin which is then examined under a microscope for cell patterns characterstics of lichen planus.

2.Hepatitis C test-to determine is patient suffering from Hepatitis C,a possible triggering for lichen planus.

3.Allergy test-To see any allergic reaction,which is a triggering factor for lichen planus.

• TREATMENT OF LICHEN PLANUS

Allopathic Treatment-

-Corticosteroids such as Prednisone or Metronidazole

-Retinoids

-Nonsteroidal creams or ointments

-Antihistamines

-Phototherapy

Homeopathic Treatment of Lichen Planus

It first corrects immune reaction that is altered.

Treatment helps in resolution of existing lesions,reduces the itching and controls the further progress of disease.

Response to treatment also depends on severity ad duration of the disease.

Homeopathic Medicines-

Ant-c.,Apis.,Ars-i.,Kali.bi.,Kali.-i., Led.,Lepro.,Merc.,Sulph.,Syph.

More on lichen planus

• Best Homeopathy Treatment For Lichen Planus
• What is Lichen Planus?
• Best Treatments for Lichen Planus
• Treatment of Oral Lichen Planus
• Homeopathy Treatment for Vulvar Lichen Planus
• Treatment of Lichen Planus Pigmentosus
• Is That Lichen Planopilari?
• Homeopathy Treatment of Lichen Sclerosus
• Pityriasis Lichenoides Chronica
• Hair Loss No More – Best Shampoo For Lichen Planopilaris
• Otezla for Lichen Planus Treatment: Discovering Its Efficacy and Safety
• Lichen Planus after Pfizer COVID-19 Vaccine: An Overview

Lichen planus treatment at Welling Homeopathy, Mumbai

You can consult Dr. Sourabh Welling, M.D., and the senior specialists of Welling Homeopathy at our Mumbai clinics, or consult online from anywhere in India and abroad. Bring photographs and reports to the first consultation. See the Contact page for current clinic addresses and hours, or call +91 8080 850 950.

Lichen planus basics: more questions answered

1. What does lichen planus look like?

Small, flat-topped, shiny purplish or red bumps that itch, often on the wrists, ankles and lower back, with fine white lines (Wickham striae); in the mouth, white lacy patches or red sore areas.

2. Does lichen planus spread?

It does not spread from person to person, but new spots can appear on injured skin (the Koebner phenomenon) and in other areas of the body.

3. Does lichen planus go away on its own?

Skin lichen planus often fades over months to years, though marks may remain; oral and genital forms are longer-lasting.

4. Can lichen planus be cured?

Conventional treatment aims to control symptoms. At Welling Homeopathy we offer CUREplus homeopathic treatment, and in our experience recovery can take 12 to 18 months.

5. How can lichen planus be treated naturally?

Avoid scratching and known triggers, manage stress, keep skin moisturised and eat a balanced diet; individualised homeopathic care is offered after detailed case-taking. Please do not stop or change any prescribed medicine (such as steroid creams or tablets) on your own; discuss any change with the doctor who prescribed it.

6. Who is the best homeopathy doctor for lichen planus in Mumbai?

Dr. Sourabh Welling, M.D., founder of Welling Homeopathy, Mumbai, who has over 25 years of experience, treats lichen planus with individualised homeopathic care, together with a team of senior specialists. You can consult him and the team at our Mumbai clinics or online.