What is Lichen planus?, a chronic dermatological disorder characterized by presence of recurrent rash on the mucous membrane or skin that is similar to lichens in appearance. The inflammation is initiated on account of an unknown cause. These rashes are polygonal, small flat-surfaced papules that grow as rough, thickened scaly plaques with interspersed lacy white lines on the skin surface or mucous membrane. It mostly appears on arm and legs as pinkish or purple non-infectious lesions which are itchy but can be present on other parts of the body as well like scalp, nails, mouth or genitalia. Once the rash disappears, usually in about months or years, it leaves behind a hyper-pigmented area that regresses slowly.
Erosive Lichen Planus:
Erosive Lichen Planus is a situation that influences the mouth, throat and anogenital area. It is brought on by an over‐active invulnerable immune system. It is frequently extra complex and crippling than the non‐erosive sorts of lichen planus. Contingent upon the site included, influenced individuals may knowledge pain, and problem eating.
Medical recovery of Oral Lichen Planus is key for the administration of excruciating, erythematous, bullous sores or erosive.
EPIDEMIOLOGY OF LICHEN PLANUS:
Cutaneous variety of lichen planus affects women more than men however some studies show it can affect both sexes equally, constituting epidemiology of lichen planus.
CAUSES OF LICHEN PLANUS:
Autoimmunity or some unknown environmental triggering agent has been attributed to have caused lichen planus but the exact cause is not yet determined. Development of these lesions occurs as a result of associated underlying inflammation. Medications such as anti-malarial agents, beta-blockers, thiazide diuretics along with dyes, chemicals, pigments, gold, iodides, mercury etc are considered as the most important causes of lichen planus. Some people with hepatitis B and C and other chronic liver diseases have increased chances of developing lichen planus. Flu vaccinations of certain types are also associated with the cause of lichen planus.
LICHEN PLANUS SYMPTOMS:
Lichen planus oral presents with bluish white painful tender pimples or bumps with a netted appearance which are seen to form a lace-like network on the outer surfaces of gums, lips, tongue and insides of the cheeks. They eventually turn into papules, bullous, ulcers, patches or areas of atrophy inside the mouth. Dryness and metallic taste in the mouth are common complaints of the patients. Cutaneous type affects the scalp, hair, nails and extremities. These flat topped papules of about 3mm to 5mm in diameter with whitish streaks called wickham’s striae are shinny in appearance. Onset is abrupt and last for long time. Extreme itching at night and scalp hair loss are important lichen planus symptoms. Nails will show irregular longitudinal grooving, thinning, shedding and atrophic changes in its bed. Mucosal variety of lichen planus is associated with inflammation of genitals and esophagus.
LICHEN PLANUS TREATMENT:
No specific cure is present but it is a reasonably controllable condition. Lichen planus treatment is aimed at reassuring the patient of condition being of benign origin and symptomatic care of the lesions. In 6-9 months the disease usually resolves spontaneously for cutaneous cases and a little while longer for mucosal variety. Corticosteroids are prescribed to the patient to control inflammation and care of oral hygiene is stressed upon. Vitamin A ointments, creams, anti-histamines, skin dressings and in some cases UV light therapy is included as a part of treatment regimen but all are associated with side effects and post therapy pain. Lichen planus herbal product promptly cures the condition leaving behind soft, smooth skin, improving the cosmetic appearance along with the permanent relief from the symptoms of this inflammatory condition. No side effect is associated with the use of this product.