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. It can also affect the nails, causing discomfort and changes in texture or color, making it challenging to manage, especially when multiple areas are involved.

At Pinehurst Dermatology & Mohs Surgery Center, we prioritize your skin’s health and offer personalized treatment plans to help manage lichen planus effectively. With expert care and tailored solutions, you can find relief from symptoms and regain your comfort and confidence.

Preventing Lichen planus can be challenging as its exact cause is not fully understood. However, certain measures may help reduce the risk of flare-ups or alleviate symptoms:

• Avoid Triggers: Identify and avoid potential triggers such as certain medications, allergens, or chemicals that may be associated with the onset of lichen planus.

• Practice Stress Management: Since stress can contribute to flare-ups, adopting stress-reduction techniques such as meditation, yoga, or deep breathing exercises may be beneficial.

• Maintain Good Oral Hygiene: If lichen planus affects the mucous membranes inside the mouth, practicing good oral hygiene and regular dental check-ups can help manage symptoms.

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.

Dermatologists typically diagnose lichen planus through a thorough examination of the skin, nails, and mouth. While visual inspection is often sufficient, in some cases, a skin biopsy may be necessary to examine tissue under a microscope for confirmation. 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.

• Corticosteroid Pills: In more severe or widespread cases, oral corticosteroids may be prescribed to control inflammation and immune system response.

• PUVA Therapy (Light Therapy): This involves exposure to ultraviolet A (UVA) light after taking a light-sensitizing medication (psoralen). It can be effective in managing lichen planus symptoms.

• Retinoic Acid: Topical or oral retinoids, such as retinoic acid, may be recommended to promote skin cell turnover and reduce inflammation.

• Tacrolimus Ointment or Pimecrolimus Cream: These are calcineurin inhibitors that can be applied topically. They are an alternative to corticosteroids, particularly in sensitive areas.

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.