Materiały źródłowe

• #1

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=acl3853

  Lichen planus is a condition that mainly affects the skin and the inside of the mouth. It causes shiny reddish-purple bumps on the skin or grey-white spots in the mouth. The bumps may cause pain or itching. You can have it on your scalp, nails, and genitals. It can also occur on the underside of the wrist, your lower back, and your legs. […] Treatment on the skin can relieve itching. Creams are most often used. If you have a severe case, you may take prescription medicines by mouth. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Try not to scratch. Scratching can make it worse.

• #2 Lichen Planus: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.lichen-planus-care-instructions.acl3853

  Lichen planus is a condition that mainly affects the skin and the inside of the mouth. It causes shiny reddish-purple bumps on the skin or gray-white spots in the mouth. The bumps may cause pain or itching. […] Treatment on the skin can relieve itching. Creams are most often used. If you have a severe case, you may take prescription medicines by mouth. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Try not to scratch. Scratching can make it worse. […] Put cold, wet cloths on the area to reduce itching. […] Ask your doctor if you can take an antihistamine that might reduce itching and make you sleepy, such as diphenhydramine (Benadryl). Be safe with medicines. Read and follow all instructions on the label.

• #2 Lichen Planus: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.lichen-planus-care-instructions.acl3853

  Wash the affected area with water only. Soap can make itching and dryness worse. Pat dry. […] Apply medicine as directed by your doctor. […] If it’s on your vulva: Do not douche unless your doctor tells you to. Avoid hot baths. Don’t use soaps or bath products when you wash. Rinse with water only. And gently pat the area dry before you apply a thin layer of petroleum jelly. […] If it’s on your penis: Keep your penis clean. If you haven’t been circumcised, gently pull the foreskin back to wash your penis with warm water. Make sure your penis is dry before you get dressed.

• #3 Lichen planus

  https://www.pcds.org.uk/clinical-guidance/lichen-planus

  Lichen planus (LP) is thought to be an immunologically mediated disorder. […] The prognosis for LP is 50% of patients clear in nine months / 85% by 18 months. LP can relapse in 20% of cases. […] For the majority the main aim of the treatment is to reduce the intense itch. The mainstay of treatment should be: Potent / super-potent topical steroids eg 0.1% Betnovate cream or Dermovate cream once a day, sometimes for several weeks – as symptoms improve the potency of topical steroids can be reduced. […] Troublesome oral symptoms can be treated as follows: Topical analgesia is available as a mouthwash and spray eg Difflam. […] Patients with evidence of scarring alopecia, nail destruction, ulceration or other aggressive forms of lichen planus should be referred urgently to a dermatologist.

• #4 Lichen Planus: Symptoms, Diagnosis, Treatment, and Risks

  https://www.healthline.com/health/lichen-planus

  Lichen planus can occur in anyone, at any age. But there are certain factors that make some people more likely to develop the condition. […] For mild cases of lichen planus, you may not need any treatment. If the symptoms are uncomfortable or severe, your doctor may prescribe medication, or you may be able to find symptom relief with home treatments. […] There are a few things you can try at home to complement your prescription treatments. The American Academy of Dermatology recommends these methods for skin lichen planus: soak in an oatmeal bath, avoid scratching, apply cool compresses to a rash, use OTC anti-itch creams. […] Talk with your doctor before adding OTC products to your treatment plan. This way you’ll be certain that nothing you might take will interact with the prescription medications you’re taking.

• #5 Lichen planus

  https://www.nhs.uk/conditions/lichen-planus/

  Lichen planus on your skin usually gets better on its own in about 9 to 18 months. […] Creams and ointments from a GP can help control the rash and ease itching. […] If creams and ointments do not work, or you have severe lichen planus, steroid tablets or treatment with a special kind of light (light therapy) can help. […] Lichen planus in your mouth can last for several years. Mouthwashes and sprays from a GP can help ease symptoms like burning or sore gums. […] There are things you can do to help ease lichen planus symptoms at home. These will depend on which area of your body is affected. […] If you have lichen planus on your skin: wash with warm water avoid soaps and body washes. […] a GP may prescribe a moisturising treatment for the skin (emollient) to use on the rash. […] If you have lichen planus on your genitals: try to have showers rather than baths.

• #5 Lichen planus

  https://www.nhs.uk/conditions/lichen-planus/

  hold a bag of frozen peas wrapped in a clean tea towel against the affected areas to ease itching and swelling. […] If you have lichen planus in your mouth: avoid salty, spicy and acidic foods, or alcohol, if they make your mouth sore. […] brush your teeth carefully twice a day to keep your gums healthy.

• #6 Lichen planus: Dermatologists’ tips to help you feel better

  https://www.aad.org/public/diseases/a-z/lichen-planus-self-care

  Try to avoid scratching, rubbing, and injuring your skin, as doing any of these can cause a flare-up. An injury, whether caused by a burn, cut, or scratch, can trigger new bumps and other signs of lichen planus. […] Practice gentle skin care. Skin with lichen planus is inflamed, so its easily irritated. To reduce the chance of irritating your skin: […] Ease itchy skin with a cool compress or oatmeal bath rather than scratching or rubbing. When you scratch or rub itchy skin, you may develop an infection. Scratching or rubbing can also worsen lichen planus. […] If you cannot stop scratching, cover itchy skin with bandages. This helps to reduce the impact that scratching has on your skin and can help prevent an infection. […] Instead of scratching or rubbing your itchy scalp, relieve the itch by applying a cool compress. Scratching or rubbing your scalp can worsen inflammation, which can lead to hair loss and scarring.

• #6 Lichen planus: Dermatologists’ tips to help you feel better

  https://www.aad.org/public/diseases/a-z/lichen-planus-self-care

  Watch for symptoms that the condition is worsening. Symptoms include scalp tenderness, inflammation (redness on lighter skin tones and a brown or gray discoloration on darker skin tones), scaling, and hair loss. If you see any of these, let your dermatologist know. […] Brush your teeth twice a day and floss once a day. If your mouth feels painful, you may not want to brush and floss. However, avoiding these can worsen oral lichen planus and lead to unhealthy teeth and gums. […] Have a professional dental cleaning every 3 to 4 months. When plaque and tartar build up in your mouth, flare-ups can increase. Cleanings can remove this buildup. By reducing buildup and bacteria in your mouth, dental cleanings can also reduce your risk of developing an infection. […] Avoid chewing on your lips and the inside of your mouth. These can worsen the disease in your mouth.

• #6 Lichen planus: Dermatologists’ tips to help you feel better

  https://www.aad.org/public/diseases/a-z/lichen-planus-self-care

  Avoid exposing your nails to harsh chemicals like paint thinner and household cleansers. […] Look for changes to your nails, such as a color change to the skin around one or more nails or swelling. Contact your dermatologist right away if you spot any changes. […] Relieve itching and swelling by placing a cold pack wrapped in a clean towel on the areas. Try not to scratch or rub the area. […] Wear loose-fitting undergarments, pants, and shorts.

• #6 Lichen planus: Dermatologists’ tips to help you feel better

  https://www.aad.org/public/diseases/a-z/lichen-planus-self-care

  Try to stop smoking, chewing tobacco, and drinking alcohol. Oral lichen planus may increase your risk of developing oral cancer. If you smoke, chew tobacco, or drink, you raise this risk even more. […] Stop eating foods and drinking beverages that seem to irritate your mouth. This list may include spicy foods, salty foods and snacks, citrus fruits and juices, tomatoes and foods made with tomatoes, and drinks that contain caffeine. […] Moisturize your nails and cuticles by applying petroleum jelly or a cream that contains lanolin. Your dermatologist will tell you how often to apply moisturizer. This is often once or twice a day or every night. […] Keep your nails short and smooth. […] Try not to bite or pick at your nails and cuticles. […] Wear gloves to protect your hands while doing housework, gardening, or anything that makes your hands wet.

• #6 Lichen planus: Dermatologists’ tips to help you feel better

  https://www.aad.org/public/diseases/a-z/lichen-planus-self-care

  Partner with a board-certified dermatologist. Your dermatologist knows how to manage this disease, so you can feel better. […] Apply and take medication as directed. Many people can manage lichen planus without medication. If medication is prescribed, applying (or taking it) as directed can ease symptoms, reduce flare-ups, and prevent the condition from getting worse. […] Manage your stress. Do you feel that stress can worsen your symptoms like itch or lead to flare-ups? Practicing a stress management technique, such as meditation or mindfulness, may reduce your stress. […] Keep all follow-up appointments with your dermatologist. This allows your dermatologist to monitor you. When your dermatologist prescribes medication or light therapy, follow-ups allow your dermatologist to adjust treatment as needed.

• #7 Lichen planus – BAD Patient Hub

  https://www.skinhealthinfo.org.uk/condition/lichen-planus/

  Lichen planus of the penis. In most cases, lichen planus without symptoms does not require treatment. If symptoms are present, potent and/or super potent topical steroids are used. In a minority of cases, where there is severe inflammation not responsive to topical treatments, or scarring of foreskin develops, circumcision may be required. […] Please note, there are no specific medicines directly developed to treat lichen planus. The use of medicines described above are outside of their product license. Through use and experience, there is cumulative evidence that they are helpful and effective. These treatments do not cure the lichen planus. If they are stopped prematurely, any rash may flare and worsen. Treatments often require careful monitoring with blood tests. Like any medicine, the balance of risks of harmful effects versus benefits need careful consideration by the patient and the treating doctor. […] Self-care (What can I do?) Try to avoid injuring or scratching your skin. New patches of lichen planus can develop in scratched and damaged skin. Keeping the skin hydrated with a regularly applied moisturiser (emollient) can also help reduce symptoms from lichen planus, such as itch.

• #7 Lichen planus – BAD Patient Hub

  https://www.skinhealthinfo.org.uk/condition/lichen-planus/

  Lichen planus of the nails. Nail disease can be slow, or rapidly progressive, and may cause permanent damage. For rapidly progressive nail disease, intramuscular steroid injections or steroid tablets may be used to slow the disease and combine with medicines such as acitretin or methotrexate used to control the condition. If only a few nails are affected, steroid injections can be given directly to the affected nails. […] Lichen planus of the vulva and vagina. This can be particularly stubborn. Initial treatment is with potent and super potent topical steroids and maintaining good skin care of the area. A gynaecologist may need to become involved if the vagina is affected, particularly if there are signs of scarring and damage to the vagina. If the damage cannot be controlled with topical treatments, further treatments include methotrexate, mycophenolate mofetil, and hydroxychloroquine.

• #7 Lichen planus – BAD Patient Hub

  https://www.skinhealthinfo.org.uk/condition/lichen-planus/

  What are the aims of this leaflet? This leaflet has been written to help you understand more about lichen planus. It tells you what it is, what can be done about it, and where you can find out more about it. […] How can lichen planus be treated? Appropriate treatments for this condition depend upon the type of lichen planus present, the severity of symptoms, and if there any specific risks, such as hair loss or nail damage. Mild lichen planus, without symptoms, often does not need any treatment. Moderate lichen planus of the skin. Affected areas are usually treated with steroid creams or ointments (topical steroids). Potent and/or very potent steroids are usually needed. These should usually be applied carefully once a day, as instructed by your doctor, to affected areas. As the rash and itch clear, the red-purple spots change to grey- or light-brown flat marks. At this stage, the skin no longer requires treatment with a steroid. These marks will slowly fade with time. Non-steroid anti-inflammatory (prescription-only) medications, such as tacrolimus ointment and pimecrolimus cream, can sometimes be used for lichen planus. These are especially useful for delicate areas, such as the face, armpits, and groins, as they do not carry any risk of causing skin thinning when used in the long-term.

• #7 Lichen planus – BAD Patient Hub

  https://www.skinhealthinfo.org.uk/condition/lichen-planus/

  Severe or widespread lichen planus. For severe or widespread lichen planus, the initial treatment is with a course of steroid tablets (oral steroids), in combination with topical steroids. If there is little improvement in the rash, further treatments such as ultraviolet therapy (narrow band ultraviolet B therapy, or NB-UVB) or acitretin (a tablet treatment) may be considered. Further treatments include methotrexate and hydroxychloroquine for stubborn disease. […] Lichen planus of the mouth (oral lichen planus). Treatment options include topical steroids and mouthwashes for mild cases, while severe cases may require oral corticosteroids or other immune-affecting medications such as methotrexate, mycophenolate mofetil, or azathioprine. […] Lichen planus of the hair (lichen planopilaris). This carries the risk of permanent hair loss (scarring alopecia). Treatments include topical potent or ultrapotent steroids, steroid injections, and medicines such as hydroxychloroquine. If the response is poor, mycophenolate mofetil or methotrexate may be added.

• #8 Lichen Planus (also known as “LP”; includes or resembles “lichenoid reaction”) – CDHO

  https://cdho.org/factsheets/lichen-planus/

  Oral management implications: Most cases of oral lichen planus are asymptomatic, being first discovered on routine oral examination. […] Although oral LP does not directly increase the risk of caries or gingival disease, painful oral lesions can limit the patient/client’s ability to maintain good oral hygiene. Therefore, patients/clients with oral lichen planus should be advised regarding appropriate methods of oral hygiene and should receive frequent dental and dental hygiene care. […] Gingival LP lesions may improve with meticulous oral hygiene. […] Erosive lesions and other inflammation related to oral LP usually respond well to topical corticosteroid application. […] Because there is increased risk of oral cancer with lichen planus (especially the erosive form), regular oral soft tissue examination is important.

• #8 Lichen Planus (also known as “LP”; includes or resembles “lichenoid reaction”) – CDHO

  https://cdho.org/factsheets/lichen-planus/

  Local oral exacerbating factors should be eliminated, including sharp teeth, broken restorations, and prostheses that are likely to cause physical trauma. […] In addition to education about practising good oral hygiene, the dental hygienist should advise patients/clients to cut out spicy, salty, or acidic foods if they seem to trigger or worsen symptoms. […] Emotional stress management can be helpful, especially for erosive LP.

• #9 Oral Lichen Planus

  https://www.aaom.com/oral-lichen-planus

  A goal of therapy is to convert bothersome erosive or ulcerative oral lichen planus to the asymptomatic reticular form. Individuals with oral lichen planus often require some form of maintenance therapy to keep their disease under control. Oral lichen planus can be controlled but often will exhibit disease flare-ups requiring additional. Finally, following a healthy lifestyle consisting of a well-balanced diet, exercise and stress reduction is also beneficial. […] All patients with oral lichen planus should have a periodic evaluation to assess the efficacy of therapy and to monitor for suspicious changes. If your oral lichen planus does not respond to treatment or if you should notice a significant change, you should contact your health care provider for further evaluation.

• #10 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Lichen-Planus-Treatment.aspx

  Caring for lichen planus at home includes the following measures for patients with cutaneous lichen planus: Avoid contact with soap or shampoo on the skin and bathe with warm water instead. For the genital areas, avoid contact with urine and use ice packs (wrapped in towels) to relieve itching. In oral lichen planus, symptomatic resolution is aided by keeping the mouth clean but avoiding alcohol-containing mouthwashes which can irritate the lesions, avoiding crusty, hard, spicy or hot foods, and avoiding alcohol and smoking. […] Follow up is vital to improve the detection rate of SCC. Patients should be reviewed at least once in four months, and those presenting with dysplasia at the initial visit require more intensive follow-up. Counseling and psychotherapy are required and helpful for those patients who have severe and painful LP which interferes with their daily activities.

• #11 Lichen planus | The Royal Women’s Hospital

  https://www.thewomens.org.au/health-information/vulva-vagina/vulva-vagina-problems/lichen-planus

  It is safe to have sex. You can’t give someone lichen planus because it’s not a sexually transmitted infection or contagious. […] Talk to your doctor or a sexual counsellor if sex is painful or you are anxious about trying it again. Dilators that help to open the vagina and exercises that relax the surrounding muscles may help. […] Lichen planus can affect the vulva and vagina. […] There are treatments that can help you successfully manage the symptoms. […] Lichen planus is not contagious and it is okay to have sex.

• #11 Lichen planus | The Royal Women’s Hospital

  https://www.thewomens.org.au/health-information/vulva-vagina/vulva-vagina-problems/lichen-planus

  Lichen planus (said ‘like-en plain-us’) is an inflammatory condition that can cause bumps on your skin and/or sores in moist areas like your mouth and vagina and around your vulva. […] It is often painful and sometimes itchy. If it is not treated, lichen planus can cause permanent scarring and possibly cancer. […] For most women it is a lifelong condition. […] Unfortunately there is no cure or way to get rid of lichen planus completely. There are ways though to reduce or lessen the symptoms so that you can live comfortably with it. […] Cortisone cream applied to the vulva and vagina can provide relief and stop lichen planus from getting worse. Strong cortisone is safe to use on inflamed skin and will not cause the skin of your vulva to thin. […] You will also need to have regular checkups with your doctor to monitor your lichen planus. Let them know if you notice any new changes to your vulva and vagina.

• #12 Lichen Planus – Online Dermatology

  https://www.firstderm.com/lichen-planus/

  Gentle Skin Hygiene: Utilizing lukewarm water and fragrance-free cleansers, and patting the skin dry gently, minimizes irritation. […] Nail and Cuticle Care: Regularly applying emollients, maintaining short and smooth nails, and wearing protective gloves can prevent nail lichen planus complications. […] Oral Hygiene Practices: Gentle brushing with a soft toothbrush, flossing, and using bland oral care products are essential for oral lichen planus management. Regular dental check-ups and avoidance of irritants like tobacco and alcohol are crucial. […] Scalp and Hair Care (Lichen Planopilaris): Utilizing mild, sulfate-free shampoos, limiting heat and chemical styling, and applying cool compresses can minimize scalp irritation and hair loss. […] Genital Lichen Planus Care: Opting for showers over baths, applying cold packs for pruritus, and wearing loose-fitting clothing can reduce genital discomfort.

• #13 Lichen planus: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/000867.htm

  Lichen planus is a condition that forms a very itchy rash on the skin or in the mouth. […] The goal of treatment is to reduce symptoms and speed healing. If your symptoms are mild, you may not need treatment. […] Treatments may include: Antihistamines, Medicines that calm down the immune system (in severe cases), Lidocaine mouthwashes to numb the area and make eating more comfortable (for mouth sores), Topical corticosteroids or oral corticosteroids to reduce swelling and lower immune responses, Corticosteroid shots into a sore, Vitamin A as a cream or taken by mouth, Other medicines that are applied to the skin, Dressings placed over your skin with medicines to keep you from scratching, Ultraviolet light therapy. […] Contact your provider if: Your skin or mouth lesions change in appearance, The condition continues or gets worse, even with treatment, Your dentist recommends changing your medicines or treating conditions that trigger the disorder.

• #14 Lichen Planus | University Hospitals

  https://www.uhhospitals.org/health-information/health-and-wellness-library/article/diseases-and-conditions/lichen-planus

  Lichen planus is a common disease that causes inflammation (swelling and irritation) on your skin or inside your mouth. […] Lichen planus has no cure and will likely go away on its own over time. But treatment can help ease your symptoms and speed healing. Possible treatments are: […] Treatment is difficult and may include medicines like steroids or retinoic acid.

• #15 How to Stop Lichen Planus from Spreading on Your Body

  https://www.healthline.com/health/how-to-stop-lichen-planus-from-spreading

  Common medical treatments include: […] Topical corticosteroids: Steroid creams and ointments are the most common treatment for lichen planus. They help reduce inflammation and reduce further spread. […] Stronger prescription corticosteroids like clobetasol propionate can also help with itching. […] Oral corticosteroids: If the condition is more widespread or resistant to topical treatments, your doctor can prescribe corticosteroid pills in addition to the topical formulations. […] Antihistamines: Typically used to treat an allergic reaction, antihistamines can help with itching. […] Immunosuppressive medications: Immunosuppressant drugs that lower your immune system activity, like methotrexate or azathioprine, may help control the spread and intensity of your symptoms. […] Retinoids: These vitamin A-based medications (creams or pills) can help reduce the appearance of lesions.

• #16 Lichen Planus Treatment & Management: Medical Care

  https://emedicine.medscape.com/article/1123213-treatment

  Lichen planus (LP) is a self-limited disease that usually resolves over several months but can sometimes take years to do so. Mild cases can be treated with fluorinated topical steroids. More severe cases, especially those with scalp, nail, and mucous membrane involvement, may need more intensive therapy. […] The first-line treatments of cutaneous LP are topical steroids, particularly class I or II ointments. A second choice would be systemic steroids for symptom control and possibly more rapid resolution. Classic LP frequently is very responsive to modest doses of corticosteroids. […] For LP of the oral mucosa, topical steroids are usually tried first. Topical and systemic cyclosporine regimens have been tried with some success; however, a randomized double-blind study indicated that topical cyclosporine was a less effective but much more costly regimen than clobetasol.

• #17 Lichen Planus: Symptoms and Treatment | Doctor

  https://patient.info/doctor/lichen-planus-pro

  Treatment is not always needed. Skin lichen planus may resolve spontaneously within a year, although mucous membrane lichen planus may be more persistent and resistant to treatment. […] Symptomatic treatment for itching – eg, moderately potent topical steroids (intralesional steroid injections may be beneficial for patients with severe and persistent itch) and sedating antihistamines. […] Local treatments for the symptomatic cutaneous or mucosal disease include: […] Potent topical corticosteroids (including steroid impregnated tape). […] Topical calcineurin inhibitors, tacrolimus ointment, and pimecrolimus cream. […] Topical retinoids. […] Intralesional steroid injections. […] Systemic treatment for widespread lichen planus or severe local disease often includes a 1- to 3-month course of systemic steroids (eg, prednisolone), along with another therapy, which may be one of the following:

• #17 Lichen Planus: Symptoms and Treatment | Doctor

  https://patient.info/doctor/lichen-planus-pro

  Acitretin. […] Hydroxychloroquine. […] Methotrexate. […] Azathioprine. […] Mycophenolate mofetil. […] Phototherapy. In actinic lichen planus, phototherapy should be avoided because lesions are typically triggered by sun exposure. Sun protection, including use of sunscreen, is an essential component of treatment. […] Anecdotal success is reported from long courses of antibiotics eg, metronidazole, sulfasalazine, antifungals (such as griseofulvin), and JAK inhibitors. […] Psoralen combined with ultraviolet A (PUVA) radiation treatment has been used to reduce pruritus and help to clear the lichen planus.

• #18

  https://dpcj.org/index.php/dpc/article/view/4151

  MTX demonstrated high efficacy and a good safety profile in extensive cutaneous LP and may be a safer alternative to steroids for the condition. […] Our objective was to analyze the efficacy and safety of low-dose methotrexate in generalized and recalcitrant LP patients retrospectively and assess the relapse rates in patients after stopping MTX therapy. […] A total of 42 generalized and recalcitrant LP patients treated with low-dose MTX were analyzed. […] Complete resolution was achieved in 30/32 (93%) patients within a mean duration of 14.76 weeks (4-32 weeks), and the cumulative dose of MTX to achieve remission was 153.58 mg (50-375 mg). […] Only minor side effects were noted in 12/32 (37.5%) patients, and none required treatment discontinuation. […] The mean duration of remission was 29.43 months (5-60 months).

• #19 Oral Lichen Planus Treatment & Management: Medical Care, Diet, Activity

  https://emedicine.medscape.com/article/1078327-treatment

  Medical treatment of oral lichen planus (OLP) is essential for the management of painful, erythematous, erosive, or bullous lesions. The principal aims of OLP therapy are as follows: […] In patients with recurrent painful disease, another goal is the prolongation of their symptom-free intervals. […] The main concerns with available therapies are the local and systemic adverse effects and the possibility of lesion recurrence after treatment is withdrawn. No treatment of OLP is curative. […] Local exacerbating factors should be eliminated. […] Control of stress (eg, via relaxation training) may help in treatment. […] Topical corticosteroids are the mainstay of medical treatment, though in rare cases, corticosteroids may be administered intralesionally for a focal lesion or systemically for diffuse recalcitrant lesions.

• #19 Oral Lichen Planus Treatment & Management: Medical Care, Diet, Activity

  https://emedicine.medscape.com/article/1078327-treatment

  Patients with OLP should be reexamined during active treatment, and lesions should be monitored for reduction in mucosal erythema and ulceration and alleviation of symptoms. […] Patients should be followed at least every 6 months. […] In view of the potential association of OLP with oral SCC, an appropriate specialist should follow patients every 6-12 months. […] Patients should be advised to examine their mouths regularly and to seek the help of a specialist if persistent red or ulcerative oral mucosal lesions develop.

• #20 Oral Lichen Planus Treatment & Management: Medical Care, Diet, Activity

  https://emedicine.medscape.com/article/1078327-treatment

  Close monitoring of patients is essential when these medications are prescribed. Only practitioners completely familiar with the use of immunosuppressive drugs should attempt such treatment. […] All OLP patients should be informed of the slightly increased risk of oral squamous cell carcinoma (SCC), the most common of all oral malignancies. […] They should be advised that this risk may be reduced by eliminating tobacco and alcohol consumption and by consuming a diet rich in fresh fruits and vegetables, among other measures. […] Erosive and atrophic lesions can be converted into reticular lesions by using topical steroids. […] Therefore, elimination of mucosal erythema and ulceration, with residual asymptomatic reticular or papular lesions, may be considered an endpoint of OLP therapy.

• #21 Oral Lichen Planus: Treatment & Management – Today’s RDH

  https://www.todaysrdh.com/oral-lichen-planus-treatment-management/

  A biopsy is indicated with erosive oral lichen planus for several reasons. […] There is no curative treatment currently for oral lichen planus. […] The aim of most treatment options available is to reduce symptoms of ulcers and facilitate healing to remission. […] Duration of treatment is relative and is normally continued with regular follow-up until there is a reduction in symptoms and remission of the lesion. […] Corticosteroids are commonly the first line of defense with OLP working to modulate inflammation and immune response; different potencies may be used depending on the severity of the case. […] While corticosteroids are the most common course of treatment of oral lichen planus, but there are several other immunosuppressants and immunomodulatory drug options. […] There are some non-pharmacological modalities to treat and manage OLP as well.

• #22 Enhanced Care for Pediatric Patients With Generalized Lichen Planus: Diagnosis and Treatment Tips | MDedge

  https://mdedge.com/dermatology/article/270742/pediatrics/enhanced-care-pediatric-patients-generalized-lichen-planus

  Timely and accurate diagnosis of LP in pediatric patients, especially those with skin of color, is crucial. Early intervention is especially important in mitigating the risk for chronic symptoms and preventing potential scarring, which tends to be more pronounced and challenging to treat in individuals with darker skin tones. […] The most common approach to management of pediatric LP involves the use of a topical corticosteroid and an oral antihistamine, but the recalcitrant and generalized distribution of lesions warrants the administration of a systemic corticosteroid regardless of the patient’s age. […] Although an underutilized approach, IM triamcinolone helps to prevent the progression of lesions to the scalp, nails, and mucosa while also reducing inflammation and pruritus in glabrous skin.

• #22 Enhanced Care for Pediatric Patients With Generalized Lichen Planus: Diagnosis and Treatment Tips | MDedge

  https://mdedge.com/dermatology/article/270742/pediatrics/enhanced-care-pediatric-patients-generalized-lichen-planus

  Patients should be monitored vigilantly for complications of LP. The risk for postinflammatory hyperpigmentation is a particular concern for patients with skin of color. Other complications of untreated LP include nail deformities and scarring alopecia. […] Furthermore, patient education is key. Informing patients and their caregivers about the nature of LP, the available treatment options, and the importance of ongoing follow-up can help to enhance treatment adherence and improve overall outcomes.

• #23 Lichen Planus | Cedars-Sinai

  https://www.cedars-sinai.org/health-library/diseases-and-conditions/l/lichen-planus.html

  Lichen planus is a common disease that causes inflammation (swelling and irritation) on your skin or inside your mouth. […] If you have symptoms, such as severe itching or sores in your mouth or genital area, treatment can help. If you have lichen planus on your scalp, treatment is important to prevent permanent hair loss. […] Treatment is difficult and may include medicines like steroids or retinoic acid.

• #24 Lichen Planus: Causes and Treatment | Pinehurst Dermatology

  https://www.pinehurstdermatology.com/conditions/lichen-planus

  Lichen planus is a common inflammatory skin condition that often presents as small, itchy bumps or a rash on the trunk, wrists, ankles, or inside the mouth. […] At Pinehurst Dermatology Mohs Surgery Center, we prioritize your skins health and offer personalized treatment plans to help manage lichen planus effectively. […] It’s important to note that while these measures may be helpful for some individuals, there is no guaranteed way to prevent lichen planus entirely. […] There is no cure for lichen planus, but treatments can help manage symptoms and reduce discomfort. Many people find that their symptoms improve with time and proper care from a dermatologist. […] Once diagnosed, various treatment options may be recommended, including: Antihistamines: These can be prescribed to alleviate itching and discomfort associated with lichen planus. […] Topical Corticosteroids: Creams or ointments containing corticosteroids are commonly used to reduce inflammation and manage skin lesions. They are applied directly to the affected areas. […] Schedule an appointment with one of our skin experts to determine your treatment plan for Lichen Planus.

• #25 Lichen Planus | University of Iowa Health Care

  https://uihc.org/services/lichen-planus

  Lichen planus treatment from University of Iowa Health Care specialists is a team effort to help you find relief. […] Lichen planus is a disease that can cause painful swelling, irritation, and erosions on the skin. […] UI Health Cares team of vulvar vaginal disease specialists, dermatologists, dentists, and others collaborate to diagnose and treat lichen planus. […] Our proven treatments relieve pain, heal irritation, and clear up your skin. […] While there isn’t a cure for lichen planus, there are treatments that can help control your symptoms. […] For vulvar/vaginal lichen planus, your provider will likely recommend that you follow specific vulvar skin care guidelines. […] These guidelines which range from using fragrance-free personal products to choosing certain birth control options can reduce skin irritation.

• #25 Lichen Planus | University of Iowa Health Care

  https://uihc.org/services/lichen-planus

  Your provider may also prescribe vaginal dilators. […] They prevent narrowing of the vagina from lichen planus scarring. […] Choosing UI Health Care for lichen planus treatment means that you have a team of experts working together on your care. […] All your providers will work together to make a customized treatment plan for you. […] And they’ll communicate with each other, and you, to monitor your treatment and make sure you get relief.

• #26 Oral lichen planus and lichenoid lesions – challenges and pitfalls for the general dental practitioner | British Dental Journal

  https://www.nature.com/articles/s41415-024-7063-y

  Lichen planus is a chronic, mucocutaneous inflammatory condition which, due to its prevalence, will be familiar to the dental profession. […] This paper looks to examine these challenges and provide information to support those who are involved in recognition and management of patients with lichen planus. […] General dental practitioners should have awareness of the risk of malignant transformation associated with oral lichen planus, monitor patients and alert specialist services to any clinically significant changes. […] Professional monitoring is required for OLP and OLLs in view of their status of oral potentially malignant disorders. […] A small proportion of OLP and OLLs demonstrate malignant transformation to oral squamous cell carcinoma (0.5-2.5% over five years). […] All patients with OLP/OLLs should be monitored by a dental practitioner.

• #27 Lichen planus

  https://www.pcds.org.uk/patient-info-leaflets/lichen-planus

  Some of the treatments your GP may prescribe are: Topical steroids – are anti-inflammatory medicines to reduce the inflammation causing the rash. […] Topical calcineurin inhibitors – are anti-inflammatory medicines that work like topical steroids. […] Moisturisers – repair the skin, reduce itching, and improve symptoms. […] Analgesics (painkillers) – some people with severe lichen planus, for example where the mouth, vulva, and vagina, are affected, may need prescription analgesics. […] Lichen planus has been associated with depression, anxiety, irritability, and stress. […] A specialist may be needed to diagnose lichen planus, especially the uncommon types, or lichen planus affecting the hair and nails. […] Once diagnosed; usually treatments will be discussed and started. Treatments depend on the extent and site of the lichen planus. […] In most cases, lichen planus resolves itself. Available treatments aim to improve symptoms, make the disease course milder, and aim to reduce risks such as permanent hair loss (in scalp lichen planus).

• #28 Enhanced Care for Pediatric Patients With Generalized Lichen Planus: Diagnosis and Treatment Tips | MDedge

  https://blogs.the-hospitalist.org/content/enhanced-care-pediatric-patients-generalized-lichen-planus-diagnosis-and-treatment-tips

  In our patient, prompt administration of low-dose IM triamcinolone was both crucial and beneficial. […] Patients should be monitored vigilantly for complications of LP. The risk for postinflammatory hyperpigmentation is a particular concern for patients with skin of color. Other complications of untreated LP include nail deformities and scarring alopecia. […] Furthermore, patient education is key. Informing patients and their caregivers about the nature of LP, the available treatment options, and the importance of ongoing follow-up can help to enhance treatment adherence and improve overall outcomes.

• #29 When to See a Dermatologist for Lichen Planus

  https://ostrowonline.usc.edu/when-to-see-a-dermatologist-for-lichen-planus/

  Other specialists involved in the care of lichen planus patients are dermatologists who specialize in diagnosing and treating skin conditions, including lichen planus. […] Interdisciplinary management is approached on multiple levels. […] If you suspect the presence of skin lesions in oral lichen planus are experiencing persistent skin changes, discomfort, or other associated symptoms, or the patient is not responding to the conventional treatment it is crucial to consult with a dermatologist. […] Timely intervention and expert guidance can help manage symptoms, alleviate discomfort, and improve overall quality of life.

• #30 Lichen planus | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/lichen-planus?content_id=CON-20156930

  If a topical corticosteroid doesn’t help and your condition is severe or widespread, your health care provider might suggest corticosteroid pills or injections. […] An antihistamine medicine taken by mouth might ease the itchy skin caused by lichen planus. […] Self-care steps can help reduce itching and pain caused by lichen planus. These include: Taking a bath in lukewarm water. […] Talk with your health care provider before trying an alternative treatment for lichen planus. Some alternative medicines or supplements have unwanted side effects. […] You’ll likely start by seeing your primary care provider. Or you may be referred to a doctor who specializes in skin diseases (dermatologist). If the condition affects the vulva or vagina, you may be referred to a specialist in conditions of the female reproductive system (gynecologist).

• #31 Azthena logo with the word Azthena

  https://www.news-medical.net/news/20250203/New-targeted-therapy-could-bring-relief-to-people-with-lichen-planus.aspx

  Mayo Clinic researchers have identified a targeted therapy that could bring relief to people living with lichen planus, a chronic inflammatory skin condition of the skin, hair, nails, mouth and genitals. […] Treatment of lichen planus is challenging, and therapeutic options have remained stagnant. To date, researchers have not developed any disease-specific medications for lichen planus. While there is no cure, various treatments can help manage symptoms. However, these treatments can come with common side effects including skin thinning, weakened immune system and increased risk of infection. […] This research provides valuable insights into the pathophysiology of lichen planus and demonstrates the potential of baricitinib as a promising treatment option, says Dr. Mangold, a Mayo Clinic consultant in the Department of Dermatology who studies rare inflammatory conditions and new therapeutics, and conducted an earlier phase 2 Mayo Clinic-led clinical trial to target these cells.

• #32 Patients With Lichen Planus May be Undertreated by Dermatologists

  https://www.dermatologyadvisor.com/news/patients-with-lichen-planus-may-undertreated-dermatologists/

  Lichen planus (LP) has a standardized prevalence of 0.15% and may be under-researched in terms of optimal medication strategies as most patients remain untreated in the year following diagnosis. […] Treatment patterns showed that more than half (53%) of patients with LP who were diagnosed by a dermatologist remained untreated 1 year after diagnosis. Among those treated, 38% received topical corticosteroids as first-line therapy. […] Future research to help identify patients who may need systemic treatment and determine appropriate treatments for patients with LP to limit sequelae is important as no medication is currently FDA-approved for LP.

• #33 Lichen Planus Nursing Care Plan – Planning for Care

  https://planningforcare.co.uk/product/lichen-planus/

  Lichen planus is a non-infectious, itchy rash that can affect many areas of the body. The symptoms of lichen planus of the skin are purple-red coloured bumps, papules, which are slightly raised, shiny and have a flat top. […] The Care Plan sets out a clear explanation of the resident’s issue, and will quickly guide the nurse or carer through the process of preparing a comprehensive, individual person centred Care Plan. […] Lichen Planus Care Plan Features: Identifies symptoms experienced […] Details a comprehensive plan of care […] Identifies possible complications.

• #34 Lichen Planus: Causes and Treatment | Riva Dermatology

  https://www.rivaderm.com/conditions/lichen-planus

  Riva Dermatology provides expert care for lichen planus, offering treatments that reduce inflammation and relieve symptoms. […] It’s important to note that treatment plans may vary based on the type and severity of lichen planus, as well as individual patient factors. Schedule an appointment with one of our skin experts to determine your treatment plan for Lichen Planus.

• #35 Lichen Planus Treatment | Vujevich Dermatology Associates

  https://www.vucare.com/lichen-planus-treatment/

  We provide lichen planus treatment and care at Vujevich Dermatology Associates. […] Most mild cases of lichen planus can be treated at home and often without medical care. If significant pain or itching occurs, dermatological care can be helpful in managing your symptoms. […] Once you have a confirmed diagnosis of the condition, your dermatologist can create a lichen planus treatment plan tailored to you. […] In general, if you know your triggers, attempt to avoid them as much as possible. […] When affecting the skin, lichen planus treatment may include light therapy. […] Medications are often prescribed for treatment, including corticosteroids, oral anti-infection medications, immune response medicines, antihistamines, and retinoids. […] If lichen planus has caused hair loss, alopecia treatment options are often considered to manage this hair loss. […] While you can treat most cases of lichen planus at home, confirming a diagnosis can help manage this chronic skin condition efficiently.

• #36 What is Lichen Planus? – Orlando | UCF Health

  https://ucfhealth.com/what-is-lichen-planus/

  This inflammatory disease is triggered by an inaccurate immune system response and is considered relatively common. […] Lichen planus is not a curable disease however, it is very treatable. Many people with it don’t even need treatment as the lesions clear up on their own. However, for bumps and rashes that persist and affect daily life, treatment should absolutely be sought to mitigate any complications from this autoimmune disorder.

• #37 Lichen Planus – The Causes and Treatments –

  https://londondermatologyclinics.com/lichen-planus-the-causes-and-treatments/

  Protect your epidermis from hazardous sunbeams by using sunscreen and wearing protective clothing outdoors. […] Practice relaxation techniques such as meditation or yoga to reduce stress levels, which can trigger lichen planus outbreaks. […] Consume foods rich in antioxidants like fruits, vegetables, whole grains, lean proteins, and healthy fats to support overall skin health. […] Treatment options can effectively manage symptoms and promote healing; however, theres currently no known cure that guarantees complete elimination of the condition without recurrence.

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