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Lichen Planus
Introduction
It is an extremely pruritic chronic inflammatory skin condition.
Signs & symptoms
• Primary lesions are violaceous, shiny flat-topped papules
• Coalesce and evolve into scaly plaques
• Distributed over inner wrists, arms and thighs as well as sacral area.
• Post inflammatory hyperpigmentation is common.
• Scarring alopecia may result from lichen planopilaris (severe)
Diagnostic criteria
• Primary lesions are violaceous, shiny flat-topped papules
• Coalesce and evolve into scaly plaques
• Distributed over inner wrists, arms and thighs as well as sacral area.
• Post inflammatory hyperpigmentation is common.
• Scarring alopecia may result from lichen planopilaris (severe)
Investigation
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Treatment
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Non-Pharmacological treatment
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Pharmacological
- • Chlorpheniramine (PO) 4mg 6 hourly for 2 weeks
AND
• Betamethasone valerate ointment 0.1% 12hrly for 2–4 weeks
OR
• Clobetasol propionate ointment 0.05%–0.1% twice daily for 2–4 weeks.
Note: In severe case refer to specialist for systemic corticosteroid and topical application under occlusion
Prevention
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Updated on,
3 Novemba 2020 12:29:22
References
- 1.STG
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