What is Lichen Planus ?
Lichen planus is a chronic inflammatory condition affecting the skin, mouth, genitals, nails, or scalp. It often appears as itchy, flat, purplish bumps or painful white patches and sores.
Symptoms of Lichen Planus
- 1. Itchy, purplish bumps on wrists, ankles, or forearms
- 2. White patches or sores in the mouth or tongue
- 3. Itchy rash that may form along scratch lines
- 4. Painful patches or sores on the genitals
- 5. Scalp irritation or hair loss
- 6. Nail ridges, thinning, or loss
- 7. Burning or discomfort when eating or irritated
Understanding the Impacts of Lichen Planus on Your Health
Lichen planus primarily causes ongoing discomfort due to persistent itching, pain, and noticeable lesions on the skin or mucous membranes, especially in sensitive areas like the mouth or genitals. If not treated early, it can lead to complications such as lasting skin discoloration, scarring, nail damage or loss, and painful erosions in oral or genital regions. In more severe or long-standing cases—particularly with erosive oral lichen planus—there may be a slightly increased risk of developing oral cancer.
Consult Our Dermatologist
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Dr. Ibrahim Nafee, MD (Dermatology) : Specializes in dermatology with a focus on skin health and therapeutic management of conditions like lichen planus.
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Dr. Anna Chacon, MBBS : Board-certified dermatologist with expertise in skin health and management of conditions such as lichen planus.
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Dr. Abdel-naser, MD, FACHARZT : Board-certified dermatologist with expertise in skin health and management of conditions such as lichen planus.
Importance and Benefits of Consulting a Dermatologist Online
Consulting a dermatologist early is essential to manage symptoms effectively and prevent long-term skin or mucosal damage. Lichen planus is a chronic inflammatory condition seen worldwide, primarily affecting adults between 30 and 60 years of age. It’s more common in women, especially with oral involvement, and though rare in children, higher cases are noted in regions like the Indian subcontinent. It may be triggered by immune dysfunction, stress, medications, or infections like hepatitis C.
How Our Platform Connects You with a Dermatologist
Easily connect with experienced Dermatologists through our user-friendly platform for prompt diagnosis and effective treatment of lichen planus. Select your preferred specialist, schedule a convenient video or audio consultation, and receive expert evaluation with care tailored to your symptoms. We also offer digital prescriptions and medical certificates—bringing specialized skin care directly to your home.
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FAQ
Lichen planus is typically diagnosed through a physical examination of the affected areas by a dermatologist. To confirm the diagnosis, a skin or mucosal biopsy may be performed, where a small tissue sample is taken and examined under a microscope. In some cases, blood tests may be done to rule out underlying causes, such as hepatitis C or autoimmune disorders. Dermoscopy and oral examination are also helpful when mucous membranes are involved.
Lichen planus is thought to result from an irregular immune response where the body mistakenly targets the skin or mucous membranes. While its precise cause remains uncertain, various factors can trigger or exacerbate the condition, such as stress, specific medications (including anti-hypertensives and NSAIDs), allergens, and infections—especially hepatitis C. In some instances, no identifiable cause is found, classifying it as an idiopathic condition.
Yes, lichen planus can lead to complications, especially if left untreated. On the skin, it may cause lasting discoloration or scarring. When it affects the mouth or genitals, it can lead to painful erosions, difficulty eating or intimacy, and secondary infections. In chronic cases—particularly oral lichen planus—there is a small but increased risk of developing oral cancer. Nail involvement may result in permanent nail damage or loss.
In rare instances, lichen planus—particularly the erosive forms affecting the mouth or genitals—may slightly raise the risk of cancer, such as oral squamous cell carcinoma. This risk is typically linked to severe, persistent, or untreated cases of the condition. Routine check-ups and timely intervention by a dermatologist can help minimize potential complications. Connect with Dr. Galen today!