Lichen planus
Treatment:
Lichen planus
The goal of treatment is to reduce symptoms and speed healing of the skin lesions. If symptoms are mild, no treatment may be needed. Medications associated with triggering an outbreak should be stopped.
Antihistamines may reduce discomfort. Viscous lidocaine mouth washes may numb the area temporarily and make eating more comfortable if mouth lesions are present. Topical corticosteroids such as triamcinolone acetonide cream and/or oral corticosteroids such as prednisone are prescribed to reduce inflammation and suppress immune/allergic response. Corticosteroids may be injected directly into a lesion. Topical retinoic acid (Vitamin A) cream and other anti-inflammatory or anti-pruritic ointments or creams may reduce itching and inflammation and may aid healing.
Occlusive dressings may be placed over topical medications to protect the skin from scratching.
Ultraviolet light (PUVA) therapy may be beneficial in some cases.
Expectations (prognosis):
Lichen planus is generally benign and may resolve with treatment, but can persist for months to years. Oral lichen planus usually clears within 18 months. Recurrence is common. Over 50% of people who have lichen planus on the skin also have lesions in the mouth. Lichen planus lesions may precede development of squamous cell cancers.
Complications:
Lichen planus
Calling your health care provider:
Call your health care provider if symptoms persist or if there are changes in the appearance of skin or oral lesions.
Call for an appointment with your health care provider if oral lichen planus persists of worsens despite treatment; or if your dentist recommends adjustment of medications or treatment of conditions that trigger the disorder.
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