Please suggest treatment for lichen planus.

Q. How long will it take to get cured of lichen planus?

Answered by
Dr. Asmeet Kaur Sawhney
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 13, 2015 and last reviewed on: Jun 25, 2023

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 medicine.

#

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 weeks which can be reduced gradually. You seem to have severe itching which is not responding much to Levocetirizine. I would recommend you take the tablet Hydroxyzine 25 mg twice daily till the itch subsides. Along with this apply Clobetasol propionate on the itchy areas. But if a large surface area is involved, dilute it in a moisturizing lotion in a ratio of 1:4. This will surely help you.


The Probable causes:

1. Immune dysfunction.

2. Genetic causes.

3. Dental amalgam.

4. Stress.

5. Anxiety.

6. Depression.

Differential diagnosis:

Lichenoid drug eruption.

Probable diagnosis:

Lichen planus.

Preventive measures:

Reduce stress and anxiety.

Hi doctor,

I had the medicines you suggested and I am applying the cream till date. But, there is no difference. It is still the same. The other which are cured still have some marks. Please suggest something effective to cure the marks. I am sending you the current image. Please check. Thank you.

#

Hi,

Welcome back to icliniq.com.

I have reviewed the attached photographs (attachment removed to protect patient identity).

In the first two pictures, I can see dark-colored pigmented areas. While in the third one, I can appreciate a thick hyperpigmented plaque.

I had already told you that pigmentation will take up to one year to resolve in 50 percent of the individuals and a little longer in rest of the individuals.

  1. For only pigmented areas, apply Melalite-XL cream (combination of Tretinoin, Hydroquinone, and Mometasone) at bedtime.
  2. Continue this for five to six weeks and revert. You will notice a lightening of the pigmentation.
  3. For the thick lesions go for intralesional Triamcinolone acetonide injections 40 mg/mL every three weeks. Three to four injections will be required to resolve it.

Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Can Panderm NM be used on the face?

Use a good moisturizer for the face and CeraVe face moisturizer ...   Read full

Why do I get wrinkles on the glans penis after using Lobate cream for pimples?

.. (Clobetasol, Miconazole, Neomycin) cream contains a steroid, and because of continuous application, your skin gets thinner. I hope there are no pimples at present on your glans. If you have pimples or any rash, then you should consult a dermatologist.   Read full

My kid has little bumps on her finger. Is it an insect bite?

.. is a strong probability of some sort of insect bite. I suggest giving her syrup Atarax 2 ml (Hydroxyzine) twice a day for two days. Keep watch, she might feel sleepy after Atarax. Apply calamine lotion locally.   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask a Dermatologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.