Lichen planus: Diagnosis & treatment
Diagnosis
These evaluations may include:
- Biopsy. Your physician removes a tiny bit of tissue for examination under a microscope. The tissue is tested to ascertain if it's the mobile patterns feature of lichen planus.
- Hepatitis C evaluation. You might have your blood drawn to check for hepatitis C, and it can be a potential cause for lichen planus.
- Allergy evaluations.
Other tests may be required if your physician suspects you have some of the many variations of lichen planus, like the kind which affects the embryo, genitals, mouth or ears.
Remedy
If the disorder affects your mucous membranes, then it is inclined to be resistant to treatment and susceptible to snore. Regardless of the treatment you use, you will have to stop by your physician for follow-up appointments around after per year.
Drugs and other therapies might help alleviate itching, alleviate pain, and encourage healing. Therapy can be hard. Speak to your physician to weigh the possible benefits against the potential side effects of therapy.
Corticosteroids
The first option for therapy of lichen planus is generally a prescription corticosteroid cream or lotion. If this doesn't help and your illness is widespread or severe, your physician may indicate a corticosteroid pill or injection.
Common side effects of topical corticosteroids include baldness or thinning in which the lotion is applied and oral thrush.
Oral anti-infections drugs
Other oral medications used in selected situations with this illness will be the antimalarial hydroxychloroquine (Plaquenil) along with the antibiotic metronidazole (Flagylothers).
Immune response medications
Antihistamines
An antihistamine drug taken by mouth could alleviate the itching of lichen planus.
Light treatment
Light therapy (phototherapy) can help clean up lichen planus impacting the epidermis. The most frequently encountered phototherapy for lichen planus employs ultraviolet B (UVB) light, which penetrates only the top layer of the skin (skin ). Light treatment generally takes two to three treatments per week for many weeks.
This treatment isn't advocated for dark-skinned men and women, who have a heightened probability of the skin remaining marginally darker even after the rash clears up.
Retinoids
Retinoids may lead to birth defects; therefore, these medications aren't advocated for women that are pregnant or might become pregnant. Should you're nursing or pregnant, your physician may choose to postpone topical retinoid treatment or pick a different therapy.
Dealing with causes
If your physician suspects your lichen planus is connected to hepatitis C disease, a medication you choose, you may need other treatment. By way of instance, you might want to change drugs or prevent offending allergens.
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