Lichen Planus

Lichen Planus: causes, symptoms and treatment

Lichen planus is a chronic skin disease that is characterized by the appearance of nodules on the skin and visible mucous membranes. This is a rare disease that most often affects women between 40 and 60 years of age. In this article we will look at the causes, symptoms and treatments for lichen planus.

Causes

The causes and mechanisms of development of lichen planus are still unknown. However, we can say with certainty that this disease is not infectious and is not transmitted from person to person. According to the nature of its course, lichen planus is a chronic disease with unexpressed recurrence, which can appear and disappear spontaneously after a certain period of time.

Lichen planus can be caused by various factors, such as psycho-emotional situations, predisposition to allergic reactions, concomitant diseases (helminthic infestation), metabolic and endocrine disorders (diabetes mellitus) and much more.

Symptoms

Skin rashes with lichen planus are represented by papules ranging in size from small, about the size of a pinhead, to 7-10 mm, with a flat surface, polygonal outline, reddish-violet color. The surface resembles a waxy one; there may be a slight depression in the center of the papules, and sometimes they have a ring-shaped outline.

Typically, these papules are located on the skin in typical places: the flexor surface of the wrist joints, the skin of the abdomen and lower back, the anterior surface of the legs, inguinal folds and under the mammary glands in women. In many cases, the rash with lichen planus is accompanied by itching, sometimes unbearable, especially in the folds. With this disease, a so-called isomorphic reaction is often observed, in which fresh elements appear at the sites of minor injuries, scratches, scratches on the skin and are located linearly.

Treatment

Given the unclear nature of lichen planus, treatment in most cases comes down to symptomatic treatments. However, first of all, it is necessary to identify concomitant diseases so that the treatment is more comprehensive and complete.

Typically, a dermatologist prescribes vitamin therapy (group B), antihistamines and sedatives, sometimes antimalarials (Delagil) or antibiotics (Griseofulvin), and in severe cases, oral corticosteroids. Physiotherapeutic methods are also effective - ultraviolet irradiation, paraffin baths. Tar, naphthalan, corticosteroid ointments and other drugs are often used as external therapy.

In addition, the patient’s rational general regimen, hypoallergenic diet, and cessation of bad habits are of great importance. It is also important to avoid trauma to the skin and folds so as not to cause an isomorphic reaction.

In conclusion, lichen planus is a chronic skin disease that can come and go on its own. Although the causes of this condition are unknown, there are treatments that can help improve skin condition and reduce symptoms. If you suspect lichen planus, consult a dermatologist who will help you make an accurate diagnosis and prescribe effective treatment.