FAQ - Lichen nitidus
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Will a tattoo trigger lichen planus?


I have lichen planus but i have been taking meds that my dermatologist prescribed. The rashes have healed but of course the scars are still there. I plan on getting a tattoo in the near future (not in an area where i have had an lp rash) I was wondering if a tattoo would trigger new lichen planus outbreaks.
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Does anyone know where the genital problem "Lichen Campus" comes from, and how to prevent it from reappearing?


My doctor and Web MD did not give much information at all - I know that Triamcinolone Cream works to get rid of it - eventually, but how do I prevent it in the first place?
My mistake ! It actually is called "Lichen Planus" ... sorry, I guess my mind is actually the problem LOL.
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lichen planus is just one of those things. its often idopathic as in has no cause. its harmless in most cases so i wouldnt worry about it!  (+ info)

What is the difference between lichen planus (LPP)& lupus erythematosus (LE)?


I would also like to know what is blaschkoid LE. are both LP & BLE autoimmune diseases ? What are the remedies ?
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More detailed info can be found at: http://www.maxillofacialcenter.com/BondBook/mucosa/lichenplanus.html

Lichen planus is a lichenoid autoimmune mucositis with a clinically different but microscopically similar dermal counterpart. On the skin the disease is usually of shorter duration, approximately 3 years, and does not have the ulcerating and blistering effects seen frequently in oral lesions. In the mouth lichen planus has several clinical variants with considerable cross-over between variants, and with occasional shifting from one variant to another. Some of these variants are thought to represent an elevated cancer risk but there is ongoing debate as to the validity of this hypothesis.

Some cases have obvious etiologic associations, usually a systemic medication or mucosal contact with dental materials or certain spices, but the etiology in most cases remains unknown. There is no strong association between oral and dermal lesions and most persons with oral involvement never have skin involvement. Oral lichen planus can be found in 1/1,000 adults (Table 1).

Discoid and systemic lupus erythematosus may present with oral keratotic and ulcerative lesions which are clinically identical to lichen planus and show a strong histopathologic similarity as well. Elongated, thin rete ridges are more likely to be associated with lupus, as is deep extension of the subepithelial lymphocytic band, especially with lymphoid aggregates present. Rete hyperplasia in lupus may, in fact, be so extensive that dyskeratosis occurs and the epithelium takes on the localized appearance of pseudoepitheliomatous hyperplasia. Thickened or degenerated endothelium with perivascular infiltrates is, of course, very helpful for the identification of lupus vasculitis, but these changes are often missing in oral examples. Cutaneous lupus lesions usually show a positive IgG and IgA reactivity along the basement membrane, and a patchy band of complement reactivity may be seen on immunofluorescence. Circulating anti-nuclear antibodies may also be present in cases of systemic disease, but an extensive discussion of the extraoral characteristics of lupus is beyond the scope of the present chapter.

Lichen sclerosus et atrophicus is the final lesion to differentiate from oral lichen planus. Extremely rare in the mouth, this typically genital mucositis may be clinically indistinguishable from oral lichen planus. The epithelium is uniformly atrophic, often extremely so, and only a thin layer of surface keratin is seen. There is typically extensive subepithelial fibrosis or hyalinization and a lesser inflammatory infiltrate is noticed; the infiltrate is often separated from the epithelium by a hyalinized band. Subepithelial hyalinization is also a feature of systemic sclerosis or scleroderma, amyloidosis and oral submucous fibrosis. Congo red birefringence and thioflavin T fluorescence can help to rule out amyloidosis, but differences in clinical features may be needed to rule out the other disorders.


There is no cure for this disease and therapy is only palliative. Fortunately, oral lichen planus lesions wax and wane, and are typically asymptomatic. For those patients suffering from tenderness and sensitivity to acidic foods, topical or systemic prednisolone is usually effective but should be used sparingly because of the potential systemic side effects. Persons affected with oral lesions seldom develop skin lesions, although the clinician should be on the lookout for evidence of lupus erythematosus during follow-up examinations, especially in patients with arthritic joint pains.

For patients with atrophic or ulcerative or bullous forms of the disease, an examination for early oral cancer should be performed every 4-6 months. This follow-up may entail repeat biopsies of areas of unhealing ulceration, induration or deep erythema. The estimated risk of malignant transformation, if real, is less than 2% over a 10 year period. Lichen sclerosus et atrophicus of the mouth carries no malignant potential, as it does in the genital region.

2nd part of your question:

Widespread Blaschkoid lichen planus by
Heather A Klein MD, Richard A Krathen MD, Sylvia Hsu MD
Dermatology Online Journal 12 (7): 17:

this info can be found here: http://dermatology.cdlib.org/127/case_presentations/blashkoid/klein.html

Lichen planus is a cutaneous and mucous-membrane disorder of unknown etiology characterized by pruritic, planar, polygonal, purple papules that upon close examination have a white lacy reticular surface. Several variants have been described, including linear lichen planus sometimes following Blaschko lines. Blaschko lines, distinct from Voight lines, Langer lines, and the lines of innervation of the spinal nerves, follow a V-shape on the back, an S-shape on the abdomen, an inverted U-shape on the upper chest, and a linear pattern down the front and back of the lower extremities [1]. Long et al. reported linear lichen planus following Blaschko lines, as in our patient [2]. This patient's lesions were not confined to one side of the body, but rather began on the right side of the chest and spread to the trunk, arms, left thigh, left foot, and third finger of both hands.

This patient was given a 3-week course of prednisone 40 mg daily with clinical and symptomatic improvement, at which time the patient was tapered off prednisone over the next few weeks.

Blaschko's lines, also called the Lines of Blaschko, are an extremely rare and unexplained phenomenon of human anatomy first presented in 1901 by German dermatologist Alfred Blaschko. Neither a specific disease nor a predictable symptom of a disease, Blaschko's lines are an invisible pattern built into human DNA[citation needed]. Many inherited and acquired diseases of the skin or mucosa manifest themselves according to these patterns, creating the visual appearance of stripes.

The cause of the stripes is thought to result from mosaicism; they do not correspond to nervous, muscular, or lymphatic systems. What makes them more remarkable is that they correspond quite closely from patient to patient, usually forming a "V" shape over the spine and "S" shapes over the chest, stomach, and sides.  (+ info)

What causes lichen planus and how do you cure it?


Lichen planus is a recurrent, pruritic, inflammatory eruption characterized by small, discrete, polygonal, flat-topped, violaceous papules that may coalesce into rough scaly patches, often accompanied by oral lesions. Diagnosis is usually clinical and supported by skin biopsy. Treatment generally requires topical or intralesional corticosteroids. Severe cases may require phototherapy or systemic immunosuppressants.  (+ info)

I am looking for a doctor in Miami that specializes in lichen sclerosis?


I am a Homeopath can you please describe your conditions in your own words. If you can do that I am hopeful that you can be treated and cured without any complications or side effects !
Take Care and God Bless you !  (+ info)

I suffer from Lichen Planus-What can I use to get rid of the dark spots?


My entire body is covered-not my face
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check out this website and see if they can help you.

www.lichenplanus.com  (+ info)

What photographic chemicals cause Lichen Planus?


I'm told color development chemicals cause lichen planus - I'm just wondering exactly which one(s). What resources are available for reference?
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1: Arch Dermatol. 1964 Mar;89:357-9.
LICHEN PLANUS-LIKE ERUPTION CAUSED BY COLOR DEVELOPER. THE TOPICAL ACTION OF 3-METHYL-4-AMINO-N-DIETHYL-ANILINE MONOHYDROCHLORIDE (CD-2) ON THE SKIN.

Other Possible Causes

It affects about 1 percent of the population, predominantly women, and usually appears during the fifth or sixth decade. Possible causes of oral lichen planus include non-steroidal, anti-inflammatory drugs (NSAIDS), iodides, tetracycline, gold, streptomycin, hydrochlorothiazide, dental fillings containing mercury in the form of amalgam (if the patient is allergic to mercury), and rough fillings. Causes may have an allergic reaction pattern, particularly following exposure to dyes and color film developers. Links have been seen with alopecia areata, vitiligo, chronic ulcerative colitis, graft-versus-host reactions, and viruses  (+ info)

Need cure for Lichen Planus. Unfortunately I am the one in a hundred that can have this tongue malady.?


Medical and dental professions have no cure and offer only a two week prednizone temporary fix. Traditional Chinese and East Indian medicune supposily have a solution but charge $200 on internet offered treatments.
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Lichen Planus is a rare, recurrent, itchy rash or area of inflammatory eruptions (lesions) of unknown origin characterized by shiny reddish-purple spots on the skin and gray-white ones in the mouth. The disorder may present as itchy spots on the wrist, legs, torso, genitals, mouth, or lips. The eruptions may appear as small separate, angular spots that may coalesce into rough scaly patches. This disorder is frequently accompanied by oral lesions of the mucous membranes that line the mouth. The disorder affects women more frequently than men.
The most common oral health problems associated with diabetes are

tooth decay;
periodontal (gum) disease;
salivary gland dysfunction;
fungal infections;
lichen planus and lichenoid reactions (inflammatory skin disease);
infection and delayed healing;
taste impairment.
Could you have Diabetes?  (+ info)

Have you heard of Lichen,a kind of fungus.I have these in my mouth causing terrible pain.What do you advise?


I have had several medications given by different dermatologists, including antibiotics and small amount of cortisone .Except from the latter I received no remedy.What do you think I should do , who do you think I should see.? Thank you..
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Lichen is a plant, not a fungus. Lichen is the green stuff you see on the north side of trees after it rains.

Ae you sure you don't have thrush or canker?  (+ info)

What is your opinion of Arctic lichen, the dental cleaning agent, used in "Blanx" toothpaste?


Effective, whitening, cleans better than any other I have ever tried, it help prevent plaque and protect teeth against bacteria, while it protects agains nicotine, coffee, and food stains without harmful effects. My confidence in this cleaning agents is heightened by its international patent.  (+ info)

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