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Lichen Planus
Lichen Planus

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

  • 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

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References

    1.STG
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