• Corpus ID: 28899309

Diagnosis and treatment of lichen planus.

@article{Usatine2011DiagnosisAT,
  title={Diagnosis and treatment of lichen planus.},
  author={Richard P. Usatine and Michelle Tinitigan},
  journal={American family physician},
  year={2011},
  volume={84 1},
  pages={
          53-60
        }
}
Lichen planus is a chronic, inflammatory, autoimmune disease that affects the skin, oral mucosa, genital mucosa, scalp, and nails. Lichen planus lesions are described using the six P's (planar [flat-topped], purple, polygonal, pruritic, papules, plaques). Onset is usually acute, affecting the flexor surfaces of the wrists, forearms, and legs. The lesions are often covered by lacy, reticular, white lines known as Wickham striae. Classic cases of lichen planus may be diagnosed clinically, but a 4… 

Acitretin for the management of generalized cutaneous lichen planus.

A 58-year-old woman with generalized cutaneous lichen planus who was successfully treated with acitretin has complete resolution of pruritus and the cutaneous lesions completely resolved over a 3-month period.

Erosive lichen planus: A case report

A long-standing case of an erosive form of LP aff ecting a middle-aged female in her 7th decade of life is presented, which carries an increased risk malignant transformation.

Lichen planus and lichenoid reactions as a systemic disease.

Zosteriform Lichen Planus on the Trunk: A Case Report of a Rare Clinical Entity

A 39-year-old female presenting with a three-month history of pruritic skin lesion over the right side of her trunk and abdomen is diagnosed with zosteriform lichen planus and treated with topical steroids.

Hydrochlorothiazide Induced Lichen Planus in the Emergency Department

A case of hydrochlorothiazide-induced LP without prolonged exposure to sunlight diagnosed in the emergency department (ED) is described, with a pharmacist-conducted medication reconciliation played an integral role in accurately recognizing this adverse drug reaction.

A Study of Various Morphological types of Lichen Planus

Among various types, predominant one was erosive and ulcerative seen in 24 cases (30.7%) followed by Follicular type (25.6%) and Reticulate type (23%) of Lichen Planus, which was seen in 44 cases (56.4%).

Diagnosis and management of oral lichen planus – Review

Oral lichen planus (OLP) is an auto immune, common, chronic T‐cell‐mediated inflammatory disorder of the skin and mucous membranes that occurs in various clinical forms that often poses a diagnostic

Erosive lichen Planus of Gingiva – A case Report

Oral Lichen Planus (OLP) is a common chronic immunological inflammatory mucocutaneous disorder that varies in appearance from keratotic (reticular or plaque like) to erythmatous and ulcerative. The

A rare unilateral widespread multiple forms of oral lichen planus: clinico-histopathologic evaluation and diagnostic considerations: A case Report

The diagnosis of OLP was based on history, clinical findings and histopathological features, and the final diagnosis was confirmed by Immunohistochemical staining (IHC) with CD8 precursor cells.

Treatment of cutaneous lichen planus (Part 1): A review of topical therapies and phototherapy

Narrowband UVB is the preferred phototherapeutic treatment option for cutaneous lichen planus and should be considered before commencing systemic treatment, and topical calcineurin inhibitors show promising results despite evidence only available from case reports.
...

References

SHOWING 1-10 OF 27 REFERENCES

Oral lichen planus and lichenoid reactions: etiopathogenesis, diagnosis, management and malignant transformation.

The etiopathogenesis, diagnosis, management and malignant transformation of OLP and OLR have been reviewed and suggestions of certain discriminatory features by some authors are suggested.

The evaluation of cutaneous, genital, scalp, nail, esophageal, and ocular involvement in patients with oral lichen planus.

  • D. Eisen
  • Medicine
    Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics
  • 1999

Oral lichen planus: an overview

  • J. Dissemond
  • Medicine
    The Journal of dermatological treatment
  • 2004
Meta‐analysis provided little evidence for the superiority of the assessed interventions over placebo for palliation of symptomatic OLP.

CO2 laser evaporation of oral lichen planus.

Topical clobetasol in the treatment of atrophic-erosive oral lichen planus: a randomized controlled trial to compare two preparations with different concentrations.

  • M. CarboneP. Arduino S. Gandolfo
  • Medicine
    Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology
  • 2009
A randomized, double-blind, placebo-controlled trial has been designed to compare the efficacy and safety of two different formulations of clobetasol, a very potent topical steroid, in the topical management of OLP and to evaluate which gives the longest remission from signs and symptoms.

Prevalence of vulval lichen planus in a cohort of women with oral lichen planus: an interdisciplinary study

A large number of patients with LP affecting these sites are seen by oral medicine specialists or gynaecologists who work in isolation and depend heavily on histopathologists to help them in confirming the diagnosis.

Efficacy of aloe vera gel in the treatment of vulval lichen planus.

Aloe vera gel was a safe and effective treatment for patients with vulval lichen planus and no side-effects were found in both groups.

Patient satisfaction after the treatment of vulvovaginal erosive lichen planus with topical clobetasol and tacrolimus: a survey study.