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February 10, 2012

Patient Discussions: Lichen Planus - Describe Your Experience

Question:Please describe your experience with lichen planus.

Comment from: Pooky, 55-64 Female (Patient) Published: September 30

My dentist just diagnosed me with lichen planus after two medical doctors didn't know what it was. Both doctors gave me a viral cream, which didn't even touch it. When I first got this, it started with my lips swelling. Then I could feel little blisters forming on the inside bottom lip. Some formed inside my top lip as well. My bottom lip developed a deep ridge and was very raw to the point of bleeding. I was putting a triple antibiotic ointment on my lips at night hoping it would cure it. It only soothed it as did Vaseline. It lasts about three weeks when it comes. It will get better, and the ridge will go away, but it isn't gone very long when it begins again. I have to be careful and not burn my lips on hot food or beverages as this will set it off. My lips also will get very dry and don't seem to absorb any moisture from the Vaseline. The rash will also get on the outside rim of my bottom lip. There's not a cure, so the only thing I can do is to keep applying Vaseline and Blistex on my lips. Having lichen planus also affects the tip of my tongue, altering the taste of food. I have had it inside my cheek and on the side of my tongue, which is white and red with bumps.

Related Reading: lichen planus | rash

Comment from: 55-64 Female (Patient) Published: December 16

I am 60 years old and was diagnosed with oral lichen planus when pregnant for my daughter at age 27. I still have it. When I lived in Michigan, it was very bad. I used to receive injections of cortisone into my oral lesions on each side of my tongue, which were erosive and very painful. I moved to Florida in 1993, and it improved immensely. Maybe the sun rays helped? Now I do not get it on my tongue or inside of my cheeks, but I have it on my lower lip. I usually get a flare-up now in times of stress or fatigue. It's also worse if I drink alcohol. Sometimes when I have a very bad flare-up, it is combined with thrush, which is a yeast infection in the mouth caused by a disturbance in the PH balance in your mouth. I have pills (Diflucan) to take when this happens. When it flares up on my lower lip, I use a steroid ointment prescribed by my dermatologist. There isn't really any cure. Now I have severe itching on both lower legs and am afraid it is now there. I use an OTC lotion called "Aquanil HC Lotion.” It helps a lot for the itching. My dermatologist gave it to me. I have done lots of research and the only advice I can give is to gets lots of sleep, keep your stress level as low as possible, and if it's in your mouth, don't drink alcohol or citrus juices.Good luck!

Related Reading: stress | fatigue | thrush

Comment from: IrishChick427, 19-24 Female (Patient) Published: November 24

I'm 22 and have had lichen planus for about two years now, although I have only known what it is for about a year. I've read that it is fairly rare for someone my age to be afflicted with it. It started as a rash on the backs of my hands, and I tried everything to get it to go away. My regular doctor prescribed me everything from oral steroids to antihistamines. It just kept coming back. I remember sitting in class and trying to hide my hands because I didn't want anyone to see it. Bright purplish spots definitely look contagious! I finally went to my dermatologist because he was my last option. I was amazed because he immediately knew what it was. He prescribed me Clobetasol cream, and it was so much better, starting the next day! I couldn't believe it! Now, I just continue using it until it is gone and then stop until it reappears. Unfortunately, long-term everyday usage can make your skin "thin," so you should stop using it as soon as the spots go away. He told me that oral contraceptives are one thing that is to blame, and stopping them usually helps symptoms, although I cannot attest to this. I will not cease taking them because I also suffer from endometriosis. I have had it on my hands, feet, legs, neck, and back. I also recently discovered I had it on my genitals (I thought it was a yeast infection, and my doctor told me otherwise) but that, thankfully, has not returned. I have a few of the brown spots on my hands, probably because that was where it persisted the longest without treatment. I also notice that it spreads on my back quickly if I itch it without noticing. I wish more primary care doctors were aware of it so it didn't take so long for most of us to get treatment.

Related Reading: endometriosis | yeast infection

Comment from: AZ, 35-44 Female (Patient) Published: November 10

My lichen planus started out with a bug-like bite. Within a month, it had spread in linear form between both my ankles; then it spread to the top of my right foot. My tongue had a white-patchy mucus-like coating on it that continued to spread to the inside walls of my mouth. I visited my family doctor. He had little clue and recommended me to a dermatologist. He instantly diagnosed it as lichen planus. It had also, by that time, spread to the inside wall of my labia. Needless to say, the itching was unbearable. He put me on a treatment program of prednisone, which immediately helped regardless of the sleepless side effects. I also was prescribed a cortisone cream that basically had little effect. Upon completion of this treatment (prednisone), (within a day) I was back to uncontrollable itching, and it had spread to the soles of my feet. Upon my third visit to the dermatologist, I was put back on the prednisone (feeling better and less itchy) and am waiting for light therapy. I am anxious to see some results and hoping I haven't scarred myself for life from scratching too much. I certainly feel for anyone with lichen planus.

Related Reading: itching | prednisone


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Lichen Planus - Symptoms and Signs Question: What were the symptoms and signs of your lichen planus?

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Suggested Reading on Lichen Planus by Our Doctors

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    • Rash
      • The word "rash" means an outbreak of red bumps on the body. The way people use this term, "a rash" can refer to many different skin conditions. The most common of these are scaly patches of skin and red, itchy bumps or patches all over the place.
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    • Tongue Problems
      • There are a variety of diseases and conditions that can cause tongue problems, discoloration, and soreness. Though most tongue problems are not serious. Conditions such as leukoplakia, oral thrush, and oral lichen planus may cause a white tongue while Kawasaki syndrome, scarlet fever, and geographic tongue may cause the tongue to appear red. A black hairy tongue may be caused by overgrown papillae on the tongue. Canker sores, smoking, and trauma may cause soreness of the tongue.
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Symptom Checker: Your Guide to Symptoms & Signs: Pinpoint Your Pain


Lichen Planus

What are noninfectious, common rashes localized to a particular anatomical area?

Common, noninfectious rashes are listed below. Since these conditions are not caused by infectious organisms, it is reasonable to attempt to treat them with over-the-counter 1% hydrocortisone cream for a week or so prior to seeking medical attention.

Seborrheic dermatitis: Seborrheic dermatitis is the single most common rash affecting adults. It produces a red, scaling eruption that characteristically affects the scalp, forehead, brows, cheeks, and external ears.

Atopic dermatitis: Atopic dermatitis, often called eczema, is a common disorder of childhood which produces red, itchy, weeping rashes on the inner aspects of the elbows and in back of the knees as well as the cheeks, neck, wrists, and ankles. It is commonly found in patients who also have asthma and hay fever.

Contact dermatitis: Contact dermatitis is a r...

Read the Rash article »




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