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Lichen Planus Symptoms

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 autoimmune disease causes lichen planus?

Lichen planus (LP) is thought to be an autoimmune disorder in patients with a genetic predisposition but may be caused by drugs or be associated with disorders such as hepatitis C. LP is characterized by recurrent, pruritic papules that are polygonal, flat-topped, and violaceous and can coalesce into plaques.

Is lichen planus a serious disease?

While it may be uncomfortable, in most cases lichen planus is not a serious condition. It’s also not contagious. However, there are some rare variations of the condition that may be serious and painful.

What can be mistaken for lichen planus?

However, lichen planus can be mistaken for other skin conditions, such as eczema, which also causes the skin to become red, flaky and itchy. If your doctor is unable to make a confident diagnosis by examining your skin, they may want to take a small skin sample (biopsy), which will be examined under a microscope.

Is lichen planus caused by stress?

It is not caused by stress, but sometimes emotional stress makes it worse. This disorder has been known to occur after contact with certain chemicals, such as those used to develop color photographs. Some cases of lichen planus may be linked to chronic hepatitis C virus infection.

Is lichen planus cancerous?

Background: Oral lichen planus (OLP) and oral lichenoid lesions (OLL) are considered potentially malignant disorders with a cancer incidence of around 1% of cases, although this estimation is controversial.

How did I get lichen planus?

The cause of lichen planus is usually not known, although possible causes include: Hepatitis C, a virus that attacks your liver. Certain medicines, including some drugs used to treat high blood pressure, diabetes, heart disease, and malaria. Reactions to metal fillings in your teeth.

Is lichen planus a symptom of lupus?

Lupus erythematosus lichen planus (LE-LP) overlap syndrome remains an uncommon diagnostic entity, combining both the histologic and clinical features of lupus erythematosus and lichen planus. A rare and challenging diagnosis, clinicopathologic correlation is essential for accurate and timely identification.

Can lichen planus cause fatigue?

Immune modulators – such as imiquimod and levamisole may be advised by a specialist if lichen planus is severe. These work with the body’s immune system to help fight damage to the skin. Skin irritation, headache, nausea and tiredness can be side-effects.

Is lichen planus lifelong?

It is often painful and sometimes itchy. If it is not treated, lichen planus can cause permanent scarring and possibly cancer. For most women it is a lifelong condition.

What happens if lichen planus goes untreated?

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.

Is there a blood test for lichen planus?

Your healthcare provider or dentist may diagnose lichen planus based on the changes on your skin or in your mouth. To make sure of the diagnosis, you may need these tests: Blood test. This can rule out other causes of your symptoms.

Can vitamin D deficiency causes lichen planus?

Another study concluded that 1,25(OH)2D3 plays an anti- inflammatory role in oral lichen planus as it has an effect on the NF-kB signaling pathway. Therefore, from the findings we can conclude that low vitamin D plays a crucial role in causing oral lichen planus.

Is lichen planus bacterial or viral?

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.

Can lichen planus cause death?

The average lichen planus patient died at 71.3 years of age; men died earlier (67.5) than women (74.5). The earliest age at death was 39 for men and 47 for women. The latest was 88 for men and 93 for women.

Is lichen planus a disability?

If you or your dependent(s) are diagnosed with Lichen Planus Pigmentosus and experience any of these symptoms, you may be eligible for disability benefits from the U.S. Social Security Administration.

Is lichen Nitidus itchy?

Itch. In rare cases, the bumps of lichen nitidus may itch, sometimes intensely. They may appear in a line where there’s a scratch, crease or constant pressure on the skin, such as a fold of skin on the abdomen or the crease of skin on the inside of the elbow or wrist.

What is the difference between lichen planus and lichen sclerosus?

The main difference between the two conditions is that LP has a propensity to involve the mucous membranes including the mouth and vagina which are rarely affected in LS. First-line treatment for LS is a super-potent topical corticosteroid ointment which has a high response rate.

Can lichen planus affect the bowel?

Conclusions: As lichen planus can be associated with other immunological disorders, the association with inflammatory bowel disease should be considered in the evaluation of the patient.

What vitamins are good for lichen planus?

Since 1971, Vitamin A acid (VAA) has been used for topical treatment of lichen planus (L.p.) at the 2nd Department of Dermatology in Vienna.

Can lichen planus affect the heart?

Background. Lichen planus is a chronic inflammatory mucocutaneous disease. Recent studies have suggested that it is associated with an increased risk of cardiovascular comorbidities.

Is lichen planus an autoimmune condition?

Lichen planus is a chronic, inflammatory, autoimmune disease that affects the skin, oral mucosa, genital mucosa, scalp, and nails.

Is lichen planus a precancerous condition?

Oral lichen planus (OLP) is a common mucosal condition that is considered premalignant by some, although others argue that only lichenoid lesions with dysplasia are precancerous.

Does lichen planus affect throat?

Oral lichen planus occurs most often on the inside of your cheeks but also can affect your gums, tongue, lips and other parts of your mouth. Oral lichen planus sometimes involves your throat or esophagus. While oral lichen planus usually begins during midlife, it can occur at any age.

Can I get lichen planus on my feet?

Hypertrophic lichen planus.

These extremely pruritic lesions most often occur on the extensor surfaces of the lower extremity, the ankles and along the medial aspect of the foot. The surface of the lesions often feels rough and raised, and appears warty. This sometimes leads to a misdiagnosis of mosaic verrucae.

Can you get lichen planus more than once?

Once the rash goes away, there is a chance it can come back. If your doctor prescribes medicine, follow the instructions. Try to avoid itching the bumps too much. There is a risk you can break the skin and cause an infection.

What is lichen planus associated with?

Lichen planus (LP) is a pruritic eruption commonly associated with hepatitis C. Lesions are characteristically papular, purple (violaceous color), polygonal, and peripherally located (eg. on the distal extremities). LP may also affect the genitalia or mucous membranes.

Is lichen planus always itchy?

Lichen planuson the skin is usually, but not always, itchy. What does lichen planus look like? The rash is made up of clusters of shiny, slightly raised pink or purple-red spots (papules), usually measuring 1-3 mm in diameter. A close look may show fine white streaks on their surface.

What is the difference between lupus and lichen planus?

Lichen planus (LP) is a chronic inflammatory mucocutaneous disorder with unknown etiology. Systemic lupus erythematosus (SLE) is known as a prototypic autoimmune disease. Cytokines play a key role in the pathogenesis of both diseases.

Is lichen planus related to Sjogren’s?

Analysis of data obtained from a Taiwan insurance database containing approximately 12,500 lichen planus patients revealed a significant association between lichen planus and systemic lupus erythematosus, Sjgren’s syndrome (significant in females only), dermatomyositis, vitiligo, and alopecia areata.

Can lichen planus cause a positive ANA test?

Lichen planus (LP) is a mucocutaneous syndrome of yet uncertain pathogenesis, and it has usually been considered to be a dermatosis without antinuclear antibodies (ANA) nor other specific auto-antibodies.

Is sunlight good for lichen planus?

Light therapy (phototherapy) may help clear up lichen planus affecting the skin. The most common phototherapy for lichen planus uses ultraviolet B (UVB) light, which penetrates only the upper layer of skin (epidermis). Light therapy usually requires two to three treatments a week for several weeks.

Why do I need a biopsy for lichen planus?

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 proteins commonly associated with oral lichen planus.

What is the best natural treatment for lichen planus?

These include Aloe barbadensis (aloe vera) gel; Curcuma longa (turmeric) rhizome; curcumin; Potentilla tormentilla (tormentil) herb; Portulacca oleracea (purslane) leaf; Glycyrrhiza glabra (licorice) root; Tripterygium wilfordii (thunder god vine) root; Althaea officinalis (marshmallow) leaf or root; Alcea rosea ( …

How can you tell the difference between lichen planus and psoriasis?

Psoriasis tends to thicken into patches and can last for years or decades. You’ll need to manage your symptoms with your doctor. Lichen planus may stop with simple red bumps that often go away on their own, though they sometimes return. And unlike psoriasis, lichen planus can affect the inside of your mouth.

Does turmeric help lichen planus?

Turmeric and Tulsi both are effective in management of Oral lichen planus but turmeric is more effective in reducing burning sensation, pain and white lesions compared to Tulsi.

Is lichen planus linked to HPV?

In the present study, HPV 18 genome was found in 31% of OLP lesions and 7.1 % of controls. In 2009, Szarka16 reported that HPVs may be involved in the development or progression of potentially malignant oral lesions including oral lichen planus.

Is Vitamin D good for 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.

Does Lichen Planus cause hair loss?

Lichen planopilaris is a type of scarring hair loss that occurs when a relatively common skin disease, known as lichen planus, affects areas of skin where there is hair. Lichen planopilaris destroys the hair follicle and then replaces it with scarring, resulting in permanent hair loss.

What does a lesion look like?

Skin lesions are areas of skin that look different from the surrounding area. They are often bumps or patches, and many issues can cause them. The American Society for Dermatologic Surgery describe a skin lesion as an abnormal lump, bump, ulcer, sore, or colored area of the skin.

Can I get disability for hidradenitis suppurativa?

The Social Security Administration (SSA) recognizes hidradenitis suppurativa (HS) as a potentially disabling disease. For HS to be considered a disability, your symptoms must be severe enough to keep you out of work for 12 months or longer.

How do I know if my rash is fungal or bacterial?

Skin infections caused by viruses usually result in red welts or blisters that can be itchy and/or painful. Meanwhile, fungal infections usually present with a red, scaly and itchy rash with occasional pustules.

What are these tiny bumps on my body?

Keratosis pilaris (ker-uh-TOE-sis pih-LAIR-is) is a common, harmless skin condition that causes dry, rough patches and tiny bumps, often on the upper arms, thighs, cheeks or buttocks. The bumps usually don’t hurt or itch. Keratosis pilaris is often considered a variant of normal skin. It can’t be cured or prevented.

What are little tiny bumps on skin that itch?

Symptoms of keratosis pilaris

Keratosis pilaris may make your skin look like you have goose bumps. The bumps are often the color of your skin. They may also look white, red, pinkish-purple on fair skin, or brownish-black on dark skin. They can feel rough and dry like sandpaper. They may itch, but they don’t hurt.

What can be mistaken for lichen planus?

However, lichen planus can be mistaken for other skin conditions, such as eczema, which also causes the skin to become red, flaky and itchy. If your doctor is unable to make a confident diagnosis by examining your skin, they may want to take a small skin sample (biopsy), which will be examined under a microscope.

What autoimmune disease causes lichen planus?

Lichen planus (LP) is thought to be an autoimmune disorder in patients with a genetic predisposition but may be caused by drugs or be associated with disorders such as hepatitis C. LP is characterized by recurrent, pruritic papules that are polygonal, flat-topped, and violaceous and can coalesce into plaques.

Is lichen planus painful?

Oral lichen planus (LIE-kun PLAY-nus) is an ongoing (chronic) inflammatory condition that affects mucous membranes inside your mouth. Oral lichen planus may appear as white, lacy patches; red, swollen tissues; or open sores. These lesions may cause burning, pain or other discomfort.

Is lichen planus caused by stress?

It is not caused by stress, but sometimes emotional stress makes it worse. This disorder has been known to occur after contact with certain chemicals, such as those used to develop color photographs. Some cases of lichen planus may be linked to chronic hepatitis C virus infection.

How do you prevent lichen planus from spreading?

How to manage or live with the condition

  1. Avoid injuries to your skin.
  2. Apply cool compresses instead of scratching.
  3. Limit the stress in your life.
  4. For oral lichen planus, stop smoking, avoid alcohol, maintain good oral hygiene, and avoid any foods that seem to irritate your mouth.

What are the complications of lichen planus?

Infection, osteoporosis, adrenal insufficiency, bone marrow suppression, renal damage, hyperlipidemia, and growth restriction in children may occur due to medication adverse effects. Postinflammatory/residual hyperpigmentation may be a common marker after lichen planus has subsided.

Source : RealOnomics.net

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Tommy E. Junkins

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