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Lichen Planus (Etiology (Autoimmune (Attack on skin and mucous membranes),…
Lichen Planus
Etiology
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Medication induced
-Antibiotics
-Arsenic, iodides
-Chloroquine
-Quinacrine,
-Quinide
-Phenothiazines
-Diuretics
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Treatment
-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
Clinical Manifestations
-Purplish, flat-topped bumps, most often on the inner forearm, wrist or ankle, but sometimes on the external genitals
-Itching
-Blisters that may break to form scabs or crusts
-Lacy white patches in the mouth — inside the cheeks or on the gums, lips or tongue
-Painful oral or vaginal ulcers
-Hair loss and scalp discoloration
-Nail damage or loss
Management
-Tub soaks with colloidal oatmeal (Aveeno, others), followed by moisturizing lotion
-Cool compresses
-Over-the-counter hydrocortisone cream or ointment, containing at least 1 percent hydrocortisone
-Avoid scratching