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what is hypertrophic lichen planus

by Jeremie Lesch Published 3 years ago Updated 2 years ago
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Hypertrophic lichen planus (HLP) is the second most common cutaneous variant of lichen planus. It is characterized as extremely pruritic, and thick hyperkeratotic plaques are seen primarily on the shins or dorsal aspect of the foot and may be covered by a fine adherent scale.Apr 30, 2016

What is the prognosis of lichen planus?

Usually lichen planus clears up on its own within two years of onset—but for some, particularly when there is oral, vaginal, or nail involvement, the condition lingers longer and may sometimes recur. Depending on the severity of the rash, lichen planus can cause scarring.

What you should know about lichen planus?

Lichen planus

  • Overview. Lichen planus is an inflammatory disorder that appears as purplish, flat-topped bumps when it affects the skin.
  • Symptoms. The signs and symptoms of lichen planus vary depending on the areas affected. ...
  • Causes. Lichen planus occurs when your immune system attacks cells of the skin or mucous membranes. ...
  • Risk factors. ...
  • Complications. ...

Does plenical help cure.lichen planus?

Herbal Remedies for Lichen Planus helping to reduce stress, eliminate toxins, and reduce pain and inflammation . Herbal Treatment for Lichen Planus with an herbal supplement can help minimize the itching, burning sensation, and pain. "PLENICAL" is one of the best and helpful herbal supplements for Lichen Planus.

Can prednisone help someone with lichen planus?

Treatment for lichen planus often involves steroids like prednisone which will usually bring the rash to a head within 12 weeks. Other treatment includes topical steroids, antihistamines and psoralen which can come in contact with UV light to block out the bad cells.

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How is hypertrophic lichen planus treated?

The first choice for treatment of lichen planus is usually a prescription corticosteroid cream or ointment. If that doesn't help and your condition is severe or widespread, your doctor might suggest a corticosteroid pill or injection.

What is the main cause of lichen planus?

The cause of lichen planus is unknown. It's thought to be related to the immune system, or an abnormal response of the immune system to certain medicines. Lichen planus isn't infectious, doesn't usually run in families and can't be passed on to others.

What does hypertrophic lichen planus look like?

On the skin, lichen planus usually appears as purplish, itchy, flat bumps that develop over several weeks. In the mouth, vagina and other areas covered by a mucous membrane, lichen planus forms lacy white patches, sometimes with painful sores.

Is lichen planus a serious disease?

Lichen planus is not a dangerous disease, and it usually goes away on its own. However, in some people, it may come back.

Should I be worried about lichen planus?

The disorder occurs when the immune system mounts an attack against cells of the oral mucous membranes for unknown reasons. Symptoms can usually be managed, but people who have oral lichen planus need regular monitoring because they may be at risk of developing mouth cancer in the affected areas.

Will lichen planus ever go away?

Lichen planus treatment Most of the time, the bumps caused by lichen planus go away without any treatment after about a year. However, treatment can help improve the rash and reduce symptoms. Types of treatment include: Antihistamines, such as Benadryl, to relieve itching.

Is hypertrophic lichen planus an autoimmune disease?

Lichen planus (LP) is a rare, chronic, inflammatory autoimmune skin and mucous membrane disease.

What diseases are linked to lichen planus?

Results: Among patients with LP, there were significant associations with systemic lupus erythematosus (SLE) (multivariate odds ratio [mOR]: 2.87; 95% CI: 1.97-4.17), Sjögren's syndrome (mOR: 3.75; 95% CI: 2.66-5.28), dermatomyositis (mOR: 6.34; 95% CI: 1.82-22.16), vitiligo (mOR: 2.09; 95% CI: 1.31-3.32) and alopecia ...

What medications can trigger lichen planus?

SubstancesAdrenergic beta-Antagonists.Angiotensin-Converting Enzyme Inhibitors.Anti-Inflammatory Agents, Non-Steroidal.Sulfonylurea Compounds.Carbamazepine.Methyldopa.Lithium.Penicillamine. Quinidine.

Is lichen planus cancerous?

Background: Oral lichen planus (OLP) and oral lichenoid lesions (OLL) are considered potentially malignant disorders with a cancer incidence of around 1% of cases, although this estimation is controversial.

Is lichen planus caused by stress?

Factors such as stress and psychological problems, especially depression and anxiety, have been mentioned as etiologic factors in lichen planus.

What is the best natural treatment for lichen planus?

9 Natural Treatments to Help Ease Lichen Planus SymptomsTurmeric ointment.Vitamin A-rich foods.Folate-rich foods and supplements.Epsom salt baths.Tea tree oil.Coconut oil pulling for oral lichen planus and coconut oil treatments for lichen planus of the skin.Oats, used in natural skin treatments.More items...•

What foods trigger lichen planus?

Spicy, acidic, and citrus foods and beverages can aggravate lichen planus. You may need to avoid eating foods made with chili peppers, curry, large amounts of ginger or garlic, or other spicy dishes. Tomato and tomato products may cause problems. Similar is the case with lemons, limes, oranges, and grapefruits.

Is lichen planus caused by stress?

It is not caused by stress, but sometimes emotional stress makes it worse. This disorder has been known to occur after contact with certain chemicals, such as those used to develop color photographs. Some cases of lichen planus may be linked to chronic hepatitis C virus infection.

Is lichen planus linked to other diseases?

Lichen planus is a cell-mediated immune response of unknown origin. It may be found with other diseases of altered immunity; these conditions include ulcerative colitis, alopecia areata, vitiligo, dermatomyositis, morphea, lichen sclerosis, and myasthenia gravis.

What is the best natural treatment for lichen planus?

9 Natural Treatments to Help Ease Lichen Planus SymptomsTurmeric ointment.Vitamin A-rich foods.Folate-rich foods and supplements.Epsom salt baths.Tea tree oil.Coconut oil pulling for oral lichen planus and coconut oil treatments for lichen planus of the skin.Oats, used in natural skin treatments.More items...•

What is the condition called when the immune system attacks cells of the skin?

Lichen planus occurs when your immune system attacks cells of the skin or mucous membranes. It's not clear why this abnormal immune response happens. The condition isn't contagious.

What causes chen planus?

Lichen planus can be triggered by: 1 Hepatitis C infection 2 Flu vaccine 3 Certain pigments, chemicals and metals 4 Pain relievers, such as ibuprofen (Advil, Motrin IB, others) and naproxen (Aleve, others) 5 Certain medications for heart disease, high blood pressure or arthritis

What causes a nail to thinning?

When it affects the nails, lichen planus causes thinning, ridging and splitting. Some people experience permanent nail loss.

Can Lichen Planus be treated at home?

In the mouth, vagina and other areas covered by a mucous membrane, lichen planus forms lacy white patches, sometimes with painful sores. Most people can manage typical, mild cases of lichen planus at home, without medical care. If the condition causes pain or significant itching, you may need prescription drugs.

Can anyone develop Lichen Planus?

Anyone can develop lichen planus. But the condition most often affects middle-aged adults. Oral lichen planus most often affects middle-aged women.

What is lichen planus?

Lichen planus is a chronic inflammatory skin condition affecting the skin and mucosal surfaces. There are several clinical types of lichen planus that share similar features on histopathology.

What are the clinical features of lichen planus?

Lichen planus may cause a small number or many lesions on the skin and mucosal surfaces.

How is lichen planus diagnosed?

In most cases, lichen planus is diagnosed by observing its clinical features. A biopsy is often recommended to confirm or make the diagnosis and to look for cancer. The histopathological signs are of a lichenoid tissue reaction affecting the epidermis.

What is the treatment for lichen planus?

Treatment is not always necessary. Local treatments for the symptomatic cutaneous or mucosal disease are:

How long does lichen planus last?

Cutaneous lichen planus tends to clear within a couple of years in most people, but mucosal lichen planus is more likely to persist for a decade or longer. Spontaneous recovery is unpredictable, and lichen planus may recur at a later date. Scarring is permanent, including balding of the scalp.

How common is lichen planus?

Lichen planus affects about one in one hundred people worldwide, mostly affecting adults over the age of 40 years. About half those affected have oral lichen planus, which is more common in women than in men. About 10% have lichen planus of the nails.

What is a T cell mediated autoimmune disorder?

Lichen planus is a T cell -mediated autoimmune disorder, in which inflammatory cells attack an unknown protein within the skin and mucosal keratinocytes.

What causes a bumpy rash on the face?

On the skin, lichen planus causes itchy groups of bumps that are shiny, firm and slightly purple. Lichen planus in the mouth may be painful and look like a white lacy rash. Lichen planus of the nails causes distortion including ridges and grooves.

How to tell if you have lichen planus?

What are the symptoms of lichen planus? 1 On the skin, lichen planus causes itchy groups of bumps that are shiny, firm and slightly purple. 2 Lichen planus in the mouth may be painful and look like a white lacy rash. 3 Lichen planus of the nails causes distortion including ridges and grooves.

How long does it take for lichen planus to go away?

A majority of cases of lichen planus go away within 1 year if it is just on the skin. If involving the mouth the rash may be more severe, take longer and require treatment.

What is the condition that causes hair loss?

Lichen planus of the scalp, or lichen planopilaris, may be itchy or painful and cause alopecia ( hair loss ).

Where is lichen planus most commonly found?

Most commonly, it is seen on the skin of the arms and legs and inside the mouth. Lichen planus can also affect the nails and the skin in the genital area.

What causes a rash on the side of the mouth?

Environmental factors include viruses (particularly hepatitis C ), medications and allergic reactions to a foreign substance including metallic dental materials. It is important to tell your doctor about all the medications you were taking when you first noticed the rash.

Can lichen planus be diagnosed at an appointment?

While lichen planus can be diagnosed at your appointment, you may need a biopsy (having a small sample of skin removed to be examined) to confirm. Blood testing may also help your healthcare provider.

How to treat lichen planus?

Lichen planus has no cure, but different treatments can help relieve your symptoms and speed healing. Possible treatments include: 1 Antihistamine medicine to relieve itching 2 Steroids on your skin or in your mouth to fight inflammation (You may also take steroids in pill form for severe cases) 3 A type of ultraviolet light treatment called PUVA 4 Retinoic acid, a medicine derived from vitamin A and usually used for acne 5 Tacrolimus and pimecrolimus, ointments used for eczema.

How many people get lichen planus?

About 1 in 100 people will get lichen planus at some time. It is not caused by an infection, and you can’t pass it on to others. Lichen planus usually affects men and women in middle age. Equal numbers of men and women get lichen planus of the skin, but women are twice as likely to get oral (inside the mouth) lichen planus. The disease is rare in people who are very young or very old.

How long does it take for lichen planus to go away?

In most cases, lichen planus will go away within 2 years. 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.

Does Lichen Planus go away on its own?

Lichen planus is not a dangerous disease, and it usually goes away on its own. However, in some people, it may come back.

Can Lichen Planus cause redness?

They may not cause any other symptoms; in severe cases, redness and sores develop. Nails: Lichen planus may appear on a few, or all, of your fingernails and toenails. Thinning, ridges, splitting, and nail loss are signs of the condition. Scalp: Redness, irritation, and tiny bumps can form on your scalp.

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1.Hypertrophic Lichen Planus - DoveMed

Url:https://www.dovemed.com/diseases-conditions/hypertrophic-lichen-planus/

18 hours ago Abstract. Lichen planus classifies into different subtypes according to morphology and location. Hypertrophic LP (HLP) manifests a great challenge due to persistent itching, the risk to …

2.Lichen planus - Symptoms and causes - Mayo Clinic

Url:https://www.mayoclinic.org/diseases-conditions/lichen-planus/symptoms-causes/syc-20351378

4 hours ago Hypertrophic lichen planus of the vulva - A missed diagnosis. Lichen planus (LP) is an inflammatory dermatosis which can affect the skin, nails, and all mucous membranes, …

3.Hypertrophic lichen planus - successful treatment with …

Url:https://pubmed.ncbi.nlm.nih.gov/26809380/

28 hours ago Lichen planus is a condition that causes skin inflammation. The resulting rash can affect the skin on your arms, legs, scalp, nails, genital area and the inside of your mouth. For most people, it …

4.Hypertrophic lichen planus of the vulva - A missed …

Url:https://pubmed.ncbi.nlm.nih.gov/33062998/

17 hours ago  · This section has been translated automatically. Extremely therapy-resistant, eminently chronic and (selectively) very itchy, mostly symmetrically localized, verrucous …

5.Lichen planus: Symptoms, Types, and Treatment with …

Url:https://dermnetnz.org/topics/lichen-planus

12 hours ago  · Hypertrophic lichen planus (HLP) is a rare variant of lichen planus that is characterized by thick, hyperkeratotic plaques. These lesions may be verrucous or Health A-Z

6.Lichen Planus: What It Is, Causes, Types & Treatments

Url:https://my.clevelandclinic.org/health/diseases/17723-lichen-planus

15 hours ago Lichen planus is a common disease that causes inflammation (swelling and irritation) on your skin or inside your mouth. On your skin, lichen planus causes a rash that is usually itchy. Inside …

7.Lichen Planus | Johns Hopkins Medicine

Url:https://www.hopkinsmedicine.org/health/conditions-and-diseases/lichen-planus

14 hours ago Hypertrophic lichen planus (HLP) is the second most common cutaneous variant of lichen planus. It is characterized as extremely pruritic, and thick hyperkeratotic plaques are seen …

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