Lichen Planus

Lichen planus is a non-infectious condition that causes swelling and irritation in the skin, nails, hair, and mucous membranes. People with lichen planus have purple flat bumps on the skin, itching, blisters, white patches in the mouth, sores in mouth and genitals, and hair loss. Corticosteroids, antibiotics, antihistamines, retinoids, and immune response medicines are used in its treatment.

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I have been experiencing an itch on the roof of my mouth for a week. Why?

Query: Hello doctor, I have been having itchiness on the roof of my mouth for a week now. I think the itchiness started when I ate spicy food. How can I stop it? I do not know if I am allergic to something. I have had an itchy mouth rooftop before as well.  Read Full »

Dr. Bhargav Reddy Gutha

Answer: Hello, Welcome to Upon review, the findings were erosions on the palate with red and white streaks, which could be erosive lichen planus. It could be a precancerous lesion like leukoplakia, and spicy food is one of the causes of a precancerous lesion, but on multiple occasions, other ...  Read Full »

I am having high sedimentation rate and C reactive protein. Can this be due to oral lichen planus?

Query: Hi doctor,I had a high sedimentation rate and C-reactive protein several months ago. I saw a rheumatologist who asked me to repeat the laboratories and they are still high or slightly higher (ESR was 30 and now it is 32 and C reactive was 6.8 now it is 7.4). An autoimmune workup was done and it was ...  Read Full »

Dr. Ashaq Hussain Parrey

Answer: Hi, Welcome to I went through your query, you need to understand that ESR (erythrocyte sedimentation rate) and CRP (C- reactive protein) are inflammatory markers and any inflammation will cause a rise in these markers. Oral lichen planus is an inflammatory condition and will res...  Read Full »

Why is Triamcinolone not treating a rash on the penis?

Query: Hi doctor, I have a rash on the head of my penis for around two months. They are purplish, sore and tender to touch. I have seen my primary care doctor and he was not sure about the condition and gave me Triamcinolone acetonide cream over two weeks ago. It has not helped. I was also tested recently...  Read Full »

Dr. Atishay Bukharia

Answer: Hi, Welcome to The condition you are suffering is not STD (sexually transmitted disease) for sure because none of the STD is present like this. There are three most common probability of your problem. Penile Lichen planus: It present in a similar manner with purplish color, itchin...  Read Full »

I have been suffering from allergies for the past four days. But I have not observed any changes despite taking the medications. So what could be the reason?

Query: Hello doctor, I have been suffering from allergies for the past four days. I have been using Keto 4S cream thrice daily, Candiforce 200 mg once every two days after food, and Levocetirizine daily at night after dinner. Even after taking these medications, I have not observed any changes. Kindly help...  Read Full »

Dr. Sandhya Narayanan Kutty

Answer: Hello, Welcome to Thank you for your query. I reviewed your history and image (attachment removed to protect patient's identity). The most likely possibility of the skin condition is post-inflammatory hyperpigmentation, also presented as lichen planus. Unfortunately, the history prov...  Read Full »

Are my lips raw and swollen due to allergy from tooth fillings?

Query: Hello doctor,I am having lots of problems with my mouth, and the VA clinic is struggling to help me. I am a 36-year-old male and have no significant health issues besides this. I am really struggling because my lips are constantly raw, peeling, and swollen. They also burn and hurt almost always. I h...  Read Full »

Dr. Ashwini. V. Swamy

Answer: Hello, Welcome to I saw your clinical picture (attachment removed to protect patient identity). If I just look at your lips, it looks like severe cheilitis. Considering the history, I would like to rule out oral lichen planus. Amalgam is known to cause lichen planus. Check-in your mo...  Read Full »

Why do I have a tiny black spot on my foreskin?

Query: Hi doctor, I have tiny black spots on my penis foreskin for the last two to three days. The areas do not itch, or I do not see any swelling or discomfort. Kindly suggest something to treat this. I am unmarried and not sexually involved with anyone.  Read Full »

Dr. Pathave Hari Shivaram

Answer: Hi, Welcome to Thank you for providing the information. It looks like a genital lichen planus. Other possibilities are bowenoid papulosis, a rare case of syphilis. You can go for a skin punch biopsy for confirmation, which will confirm the diagnosis, and according to that, the treatm...  Read Full »

What is the reason for recurring white spots on my genital area?

Query: Hello doctor, I have had white spots on my genital area for the past one year. They are not bumps but just spots. They do not itch or smell. They are only just visible. After applying a cream such as Beclomin for prolonged periods, it goes away but once I stop, it starts to appear again.  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to This seems to be related to some atypical skin lesions that respond well to Beclomin (Beclomethasone and Miconazole nitrate) (attachment removed to protect patient identity). These can or cannot be sexually transmitted disease-related symptoms. It depends on proper eval...  Read Full »

I have rapidly increasing black spots on the legs. Can you please help?

Query: Hi doctor, I am a 35-year-old female living in an island country. My concern is that I have black spots on my legs that are increasing rapidly. I have consulted many doctors and have taken different types of medicine, but there has been no improvement. What may be the reason for this? Do I have to w...  Read Full »

Dr. Pathave Hari Shivaram

Answer: Hello, Welcome to I can understand your concern. Thank you for providing the information. It looks like Lichen planus, a nonspecific allergy due to self immunity change. You have to take treatment for a few months regularly and follow up. A skin punch biopsy can be done to confirm the ...  Read Full »

Despite taking medicines, the itchy rash on my arms, feet, penis, and waist are not going away. What to do?

Query: Hi doctor, I have an itchy rash mainly on my arms, feet, penis, and waist. I have seen a doctor and he said it was scabies but everything he prescribed has not worked. What else could it be?  Read Full »

Dr. Ashwini. V. Swamy

Answer: Hi,Welcome to saw your clinical picture (attachment removed to protect the patient's identity). For me, the features are more consistent with lichen planus than scabies. Lichen planus presents with itchy violaceous fault-topped papules (bumps), mainly involving wrists and legs. It also...  Read Full »

Do white spots and stains on genitals indicate lichen planus?

Query: Hello doctor, Is this lichen planus? I also have white spots and stains on my genitals and inside my mouth. I have attached pictures for your reference. I had alopecia areata in the past.  Read Full »

Dr. Ashwini. V. Swamy

Answer: Hello, Welcome to I have gone through the attachments (attachment removed to protect patient identity). Yes, it is lichen planus. There will be itchy red to violaceous small bumps over the skin and on the mucosal surfaces like mouth and penis. It will have a whitish lacy pattern. I...  Read Full »

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