Tuesday, August 16, 2011

Oral Lichen Planus

Lichen planus is most often defined as an oral disease that affects the lining of the mouth with inflammation.
Lichen planus is a pruritic, papular eruption characterised by its violaceous colour and polygonal shape, sometimes with a fine scale. Most patients come down with their first case between the age of 45 and 60, although a slowly increasing number of reports dealing with younger patients have trickled in. While lichen planus is most often associated with the interior of the cheeks, many cases will find the entire mouth is affected, including the gums, the tongue, the lips, and in rare cases, the throat or esophagus. Women are much more susceptible to lichen planus than men, although the reason for this is pure speculation. Lichen planus also occurs on the skin, as a skin disease, and often must be referred to specifically as skin lichen planus to differentiate between the oral type.


Oral lichen planus is an autoimmune condition which can be brought about by many external factors like allergens in dental materials or toothpaste, certain drugs, an allergic reaction to food, food additives, fragrances, dyes or other substances.

Lichen planus is a self contained disease that can last for weeks, months, and in some cases, years. It is not contagious. It is often mistaken for genital diseases, as the genitalia are often the most noticeably affected during the early development stage. Because the symptoms and outbreaks occur rapidly and then disappear, often for weeks, treatment is difficult. While some patients find great relief in cool compresses or tub soaks and cool baths, most patients require medical treatment in order to relieve their symptoms.

Lichen planus is most often recognized as a rash that irritates the wrists, ankles, forearms, and the mucous membranes of the genitals. The neck, lower back, nails, nostrils, and scalp are also commonly attacked as the rash progresses.
The rash itself appears to be bumps which are flat on the top and may be any shade of pink, red, or purple. The itching associated with lichen planus can be extreme. When the mucous membranes are involved, it is not uncommon for them to combine the sensation of itch with a powerful burning sensation. When the finger or toe nails are involved the nails will often split, become grooved, and thin which often results in the loss of the nail. The hair on the scalp may thin or begin to fall out as the redness and irritation along the top of head continues to persist.

Even after treatment and the pain and itching has subsided, a lingering presence of altered pigment may remain on the skin for months, usually a gray or purplish looking spot where there was once a mark of the original hive. Few cases have been linked to a direct cause. Hepatitis C, infections, illness, and medication reactions have been linked to less than 10% of known cases. The remaining percentage has no indication of cause.

Diagnosis of lichen planus is relatively simple. The rash is difficult to confuse with other rashes, and its distinct nature makes it nearly diagnosable by sight alone. However, patients should be interviewed to understand the circumstance and the length of presence as the rash is concerned, and visual diagnosis should always be followed up via a skin biopsy.

Differential diagnosis:
  •     Drug eruption (lichenoid), e.g. thiazides, anti-malarials, gold
  •     Eczema
  •     Psoriasis
  •     Candidiasis
  •     Cutaneous graft-versus-host-reaction
  •     Discoid lupus erythematosus
  •     Granuloma annulare
  •     Lichen amyloidosis
  •     Leukoplakia
  •     Lichen sclerosus
  •     Pemphigus
  •     Pleomorphic (small cell) T-cell lymphoma
  •     Sarcoidosis
  •     Basal cell carcinoma
  •     Toxoplasmosis
There are few complications resulting from lichen planus. The most common complication is an infection of the skin acquired by vigilant scratching. A very small percentage find that after a long term battle with lichen planus, their cells become cancerous, thus skin cancer is a realistic but rare risk. Tobacco products are highly discouraged for cases like these, as tobacco raises the natural levels of risk associated with skin cell carcinoma.




Treatment options vary. For some, chronic cooling compresses and baths are the only relief they ever really find, despite treatment. There are cases that are just too stubborn and very strong strains of lichen planus developing. Other indications, in less severe cases, might rely on antihistamines for relief. Corticosteroids have been satisfactorily prescribed for severe cases, but it is more common to treat cases with phototherapy using ultraviolet light. Most physicians will immediately prescribe steroid-sparing-immune-modulating medications, which come in a topical form and are applied directly to the affected areas. It is not uncommon for patients to struggle for years in an attempt to get the lichen planus under control.

Over the counter antihistamines can often help with the significant itching associated with lichen planus. When patients use an over the counter ointment, the ointment should contain a minimum 1% hydrocortisone cream. Many patients rely on the varying self soothing methods mentioned earlier to help care for themselves while battling lichen planus.

25 comments:

  1. Replies
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    4. I’m recommending Dr Godday to everyone who have herpes virus to get the cure from him. I was diagnose of genital herpes in 2015 and i have been searching and asking questions to see if i could get something to cure the disease because i did not believe what the doctors say that no cure is found yet. I came across a comment on Youtube and the person testify how she was cured from herpes and hpv after using Dr Godday herbal medicine. I quickly contact Dr email and explain my problem to him and he prepare the herbs and send it to me through courier and gave me instructions on how to use it and tell me to go for checkup after usage which i did after two weeks of taken the herbal medicine and my result was NEGATIVE. I waited another month and retested the result was still NEGATIVE and my doctor told me that am completely free from herpes. Am so happy and grateful to Dr Godday for what he has done for me and i will continue to share this for people out there to know that there is cure for herpes. You can contact Dr Godday on email and WhatsApp to get the cure from him. Email:goddayspiritualhome@gmail.com Or Call/What’s-app +1{919}4956404

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  4. The most common symptoms of oral lichen planus are red and swollen insides of the mouth with white webbed and thread like linings. Then there are red patches of tissue, open sores on the inside of the gums, tongue etc. The most common area for these to occur is the inside area of the cheeks. Dentzz states that you might experience sensitivity to spicy and hot food or blunted taste or bleeding when brushing and inflammation. The disease is more common in women and people who have very weak immunity systems. To know more Visit!

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  5. Plenical for Lichen Planus treatment, symptoms and causes by herbal care products. our all products without side effects.

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  6. Natural Herbs Clinic is one of the best source for the lichen planus treatment with out any side effects.

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  7. There are 5 Home Remedies of Lichen Planus Treatment. Cool Compress, Aloe Vera, Turmeric, Oats and Ginger. These home remedies are very effective and recover lichen planus successfully without any side effects.

    ReplyDelete
  8. Lichen Planus on the skin results in few bumps which are purplish in shading and flat topped. Very often, Lichen Planus Home Remedies for this issue is gone for controlling the causes and triggers. You could also try Lichen Planus Herbal Treatment for treating the discomfort caused by the condition.

    http://www.herbs-solutions-by-nature.com/Lichen-Planus.php

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  9. UV treatment and antihistamine medications are treatment choices that are generally started. Lichen Planus Herbal Remedies that have characteristic mixes which can give help from hypersensitivity and therefore oversee lichen planus are said in the blog below... http://www.naturalherbsclinic.com/Lichen-Planus.php

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  11. I was diagnosed with Erosive Oral Lichen Planus. i have be trying to get rid of it and the medication became problem to me so I eventually stopped medicating because I was not seeing change, and few weeks ago I came across some testimony in a discuss about possible natural treatment to get rid of OLP and I followed the procedure by contacting Dr abu through his contact address. after 7 days taking his herbal treatment I got rid off this mess. I found a lot people suffering from OLP and you also have to apply this natural treatment email; drabumerecurecentre@gmail.com
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  14. Am Margaret by name, i was diagnosed with Herpes for 3years ago i lived in pain with the knowledge that i wasn't going to ever be well again i contacted so many herbal doctors on this issue and wasted a large sum of money but my condition never got better i was determined to get my life back so one day i saw Sarah Deanfneil post on how Dr okorom saved her from the VIRUS with herbal medicine i contacted Dr okorom on his email address dr.okoromspellhome@live.com we spoke on the issue i told him all that i went through and he told me not to worry that everything will be fine again so he prepared the medicine and send it to me through courier service and told me how to use it,after 14days of usage I went to see the doctor for test ,then the result was negative,am the happiest woman on earth now. this testimony is real.thanks to Dr okorom God bless you.please sir keep your good work cause there are people out there who is in need of your healing medicine. you can also reach him on his whatsApp number +393510460470

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  17. I has suffered for Human papillomavirus HPV) for 2years, I was given some tablets at the hospital but I refused to take it, They said I have to be on it for life so I don't want take a drugs everyday for life. No point in taking medicine everyday when u won't get cure from it and I was advice to seek for natural herbal cure, after some time I found dr onokun is the most trustful herbalist that have herbs to cure wicked symptom's,I emailed dr onokun, for 2weeks been his patient he cured my (HPV) with his herbal. I only used his natural herbs for two weeks it was 100% cure. I'm not (HPV) patient anymore. I'm happy about it i finally got cured out of this mess been in my body for 2years. I also recommend you if you're living with (HPV) or herpes symptoms i also want you to be free contact dr onokun with the email attach to my post. dronokunherbalcure@gmail.com

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  18. Good evening to you all I want to write a shortly message to the world how doctor ehiaguna help with his great herbal medicine to cured me from this horrible virus HSV 1 and 2 I get his email from someone name Olivia mason how she was also cured by doctor ehiaguna I never believe there was cure until I meet her testimony, I contacted doctor ehiaguna I don’t believe there was cure well I am so happy to write this testimony to the world, this man immediately when I sent him email and this man response within 20 minus and give me the necessary process and the herbal was sent to within 4 day I took it according to the instruction so with 2 week I was completely cured and I get my test done I was confirm negative I am so happy if you want to get his contact you can message him with this email drehiaguna@gmail.com or you can also WhatsApp him +2348073908953 he can fix this.HIV.HEPATITIS.ANTHRAX.HPV.CANCER.ALSAND ALSO SOLVE YOUR RELATIONSHIP PROBLEM

    ReplyDelete
  19. I'm so exited to share my testimonies about the Good Work of Dr.Ehiaguna who get me cured from herpes simplex virus (HSV1&2) with his herbs, I never thought that I will live on earth before the year runs out. I have been suffering from herpes, I had spent a lot of money going from one Hospital to another looking for way to get rid of this disease, the hospital have been my home everyday residence. Constant checks up have been my hobby not until this faithful day, I was searchingthrough the internet, I saw a testimony on how Dr. Ehiaguna helped someone in curing his herpes disease using his healingHerbs, quickly I copied his email just to give him a try I spoke to him, he told me that he is going to provide the herbal cure to me, which hedid, after i receive his herbs and i take it as instructed i was cure permanently from herpes my herpes disease was gone. so I decided to share my testimony, that nothing is impossible with God, God use a man to healed me. No matter what you are passing through, no matter how deadly the sickness is and no matter what the situation is God that did mine is still going to do yours, people suffering from herpes, brain tumor, kidney disease, pcos, AIDS, ALS,copd, asthma, athritis,herpes, Cancer,Hpv, any kind of disease, you can reach him now via ? Gmail address: drehiaguna@gmail.com or whatsapp +2348073908953 and you will be the next to testify of his great work.

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  20. Herpes is a serious and recurring disease which can't be cured through drugs or injections by the American doctors but the best way to deal with Herpes is by taking natural herbs medicine for it, I have read about DR OLUTA the great herbalist doctor who cure me from herpes with his powerful herbal medicine. I contacted him to know how he can help me and he told me never to worry that he will help me with the natural herbs from God!
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    ReplyDelete
  21. Never give up in life they all say no cure to HSV 2 which is a big lie I have pass through many process also i never believe there is really cure to HERPES until I meet Dr.Ehiaguna the doctor that have been helping many people for many years, I come across this doctor online when I was searching for cure online I found out about this man, and to my greatest surprise this man have the herbal medicine which I have been looking for years I explain my problem to him through the email I found on someone who testify about him also, Dr.Ehiaguna write me a reply and explain how the process work so after ordering for the medicine I got it within 4 days and I took it according to the way Dr.Ehiaguna instructed, I was so happy after two week I took the medicine there was very big change in my health when I was done with the process I go for test, I found out I am negative that was the day I have the tears of joy you can also get in contact with my doctor through his email now drehiaguna@gmail.com or you can also WhatsApp him +2348073908953. And He also have herbs medicine to cured the following diseases; eczema,urethra wart,chronic problems.Herpes, Cancer, Als,Hepatitis, Diabetes, HPV,Infections,ulcer  ETC

    ReplyDelete