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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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 icliniq.com.I 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 icliniq.com. 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 »

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 icliniq.com. 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 »

Why is there a white round patch in the tongue with reflux symptoms?

Query: Hi doctor, I am very healthy, 36 years old, with 180 lbs and a height of 6.4 feet. I usually exercise regularly. Three years back, after a stressful year, and switching to a vegan diet for several months, I had nagging reflux symptoms (sore throat, sore tongue, colored tongue, and bitter taste). So...  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to icliniq.com. Thank you for the query. I can understand your concern. According to your statement, you may be suffering from nagging reflux symptoms like sore throat, sore tongue, colored tongue, and bitter taste with a white patch on the tongue. According to the picture (attachmen...  Read Full »

I am suffering from painless non-itchy follicles in legs for past six months. what could it be?

Query: Hello doctor, I am suffering from follicles on legs from six months it is non-itchy and painless, and when I apply any cream Clop-G it becomes tiny, and after stopping the cream becomes as usual, and from six months, I saw a minor change in the increase or decrease in size. Please suggest what is th...  Read Full »


Dr. Payal Chauhan

Answer: Hello, Welcome to icliniq.com. I understand your concern. It looks to me like lichen planus or vasculitis. But skin biopsy is required to confirm the diagnosis. For that, you need to visit a skin specialist in person. If you have lesions anywhere else on the body, send pictures of them too. Meanwh...  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 icliniq.com. 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 mouth...  Read Full »

Does oral or genital herpes show symptoms like bloody blisters in mouth?

Query: Hello doctor, I have been getting sores and things that look like blood blisters in my mouth for around six months. I had a swab test and blood work was done to rule out HSV. It came back negative. However, there is still a chance it could be HSV as it takes three to six months to show up in your b...  Read Full »


Dr. G.s.s. Sandeep

Answer: Hi, Welcome to icliniq.com. Your concern may be oral lichen planus which is an autoimmune issue which is treatable. Or this can be aphthous stomatitis which are oral ulcers and they are also treatable. They flare due to low immunity of any reason, low iron in the blood, B12 deficiency, stress, ove...  Read Full »

I have white lines near the teeth on the lower lip that appears and goes by their own. What is it?

Query: Hello doctor,I have white lines near the teeth on the lower lip which appears and goes by their own. But sometimes it hurts.  Read Full »


Dr. Bhargav R Gutha

Answer: Hello, Welcome to icliniq.com. It could be lichen planus. It does not go off on wiping. If it goes off on wiping, then it is candida. Your case does not support submucous fibrosis as there is no blanching. My provisional diagnosis is lichen planus.  Read Full »

What is the cut in the mouth of a patient with lichen planus?

Query: Hi doctor, I have been diagnosed with oral lichen planus a year back and now I can feel a small cut like thing in mouth again. Can you help me up to diagnose if this is a normal cut or some other thing. I am 30 years old male.  Read Full »


Dr. Himayoon Majeed Mir

Answer: Hello, Welcome to icliniq.com. The cut you are referring to seems to be due to cheek bite (attachment removed to protect patient identity). I need to know if there is any pain in the cut or pain on taking any specific food or liquid. I need to know when where you diagnosed with lichen planus. And ...  Read Full »

Please suggest treatment for lichen planus.

Query: Hi doctor, I am suffering from acute eruptive lichen planus. I consulted a doctor and had some medicines. But still the marks are there and itching too. I am applying Lobate cream. Even now I can see new eruptions especially in my legs which are red in color and itchy. Please suggest some good medi...  Read Full »


Dr. Asmeet Kaur Sawhney

Answer: Hi, Welcome to icliniq.com. Lichen planus is a chronic and self-limiting disease. It has been seen that skin lesions subside within 9-12 months in about 50 percent of the cases. Since you are still developing fresh lesions you will have to take a course of tablet Prednisolone 20 mg daily for 6 w...  Read Full »

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