Lichen Planus - Symptoms and Signs

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What are lichen planus symptoms and signs?

Lichen planus itches with an intensity that varies in different people from mild to severe.

The onset of lichen planus can be sudden or gradual. The first attack may last for weeks or months, and recurrences may happen for years. The bumps at first are 2 mm-4 mm in diameter, with angular borders and a violet color. An excess of pigment (hyperpigmentation) may develop in the affected skin as the lesions persist. Rarely, a patchy, scarring balding (alopecia) of the scalp occurs.

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See what others are saying

Comment from: Mouthy, 65-74 Female (Patient) Published: February 04

Four years ago I had an endoscopy. The next day I was hospitalized for the ulcers in my mouth and throat. A year later, it was diagnosed as lichen planus, after a biopsy. The rashes are painful and frequent; my mouth oozes blood at night; my cheeks swell so that my teeth cut them open; my legs, scalp and back are covered with lesions and I am in constant pain. I have seen 6 different doctors and specialists, to no avail. They aren't even giving me treatment or they try to pass it off as eczema even though the biopsy says it is lichen planus. I am at my wits end. Good luck to all and I wish you well.

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Comment from: giello, 55-64 Female (Patient) Published: June 12

I thought I was getting canker sores on the inside of my cheeks. I went to my ear, nose, and throat doctor. He immediately said I had oral lichen planus. This was last August of 2013 we tried antiviral and nothing happened. The burning was difficult to take. It was hard to eat or drink. I was in constant touch with the doctor, and we tried small doses of prednisone for 10 days. I noticed it felt less painful, but not gone. I get thrush on occasion, and I needed fluconazole. After 7 days, my mouth started to clear significantly. Just about 3 weeks ago, I was put on 20 mgs of prednisone a day for ten days along with 150 mgs of fluconazole. Today is my last day on medications and for the first time in 10 months, I am clear, no outbreak! I can only hope that it's gone forever.

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