Understanding Lichen Planus: Treatment and Symptoms
Learn about lichen planus, a common inflammatory condition. Discover its key symptoms, diagnosis process, and effective treatment options to manage the condition.
Written by Dr. Rohinipriyanka Pondugula
Reviewed by Dr. Shaik Abdul Kalam MD (Physician)
Last updated on 25th Aug, 2025
Lichen planus is a skin condition that can be uncomfortable and sometimes confusing for those who experience it. If you or someone you know has been diagnosed with lichen planus, you might have questions about what it is, why it happens, and how to manage it. This article will help you understand the condition in simple terms and provide practical tips for dealing with it.
What is Lichen Planus?
Lichen planus is an inflammatory condition that affects the skin, mouth, nails, and sometimes other parts of the body. It appears as small, flattopped, shiny bumps that can be itchy or painful. These bumps often have a purplish color and may develop white lines or scales on top.
While lichen planus is not contagious, it can be persistent and may take months or even years to go away. The good news is that it is usually not dangerous, but it can cause discomfort and affect your quality of life.
Common Symptoms of Lichen Planus
The symptoms of lichen planus depend on where it appears on the body. Here are some common signs to look out for:
Skin Lichen Planus
- Purple or reddish flat bumps – Usually on the wrists, ankles, lower back, or genitals.
- Itching – Can range from mild to severe.
- White lacy patterns – Sometimes seen on the surface of the bumps.
Oral Lichen Planus (Mouth)
- White patches or sores – Inside the cheeks, gums, or tongue.
- Burning sensation – Especially when eating spicy or acidic foods.
- Painful ulcers – In severe cases.
Nail Lichen Planus
- Thinning or grooves in nails – May become brittle or split.
Nail loss – In rare cases.
- Scalp Lichen Planus (Lichen Planopilaris)
- Redness and scaling – Can lead to permanent hair loss if untreated.
- If you notice any of these symptoms, it’s best to consult a doctor for a proper diagnosis.
What Causes Lichen Planus?
The exact cause of lichen planus is still unknown, but doctors believe it may be related to an immune system reaction. Some possible triggers include:
- Autoimmune response – The body mistakenly attacks its own skin cells.
- Certain medications – Some drugs (like those for high blood pressure or arthritis) may trigger it.
- Hepatitis C infection – In some cases, this virus is linked to lichen planus.
- Stress or allergies – Can worsen symptoms.
- While lichen planus isn’t preventable, understanding potential triggers can help manage flareups.
Consult a Dermatologist for personalised advice
How is Lichen Planus Diagnosed?
A dermatologist can usually diagnose lichen planus by examining the affected skin or mouth. In some cases, they may take a small skin sample (biopsy) to confirm the diagnosis.
If you suspect you have lichen planus, you can book a consultation with a dermatologist through Apollo24|7 for expert advice and treatment options.
Treatment Options for Lichen Planus
While there’s no cure for lichen planus, treatments can help relieve symptoms and speed up healing. Your doctor may recommend:
1. Topical Treatments
- Corticosteroid creams or ointments – Reduce inflammation and itching.
- Oral gels (for mouth sores) – Help with pain and healing.
2. Oral Medications
- Antihistamines – Reduce itching.
- Steroid pills – For severe cases.
- Immune suppressing drugs – If other treatments don’t work.
3. Light Therapy (Phototherapy)
- UV light treatment – Helps clear skin lesions.
4. Home Remedies & Lifestyle Changes
- Avoid scratching – Can worsen the rash.
- Use mild soaps and moisturizers – Harsh products can irritate the skin.
- Manage stress – Stress can trigger flareups.
- Eat soft, nonspicy foods – If you have mouth sores.
When to See a Doctor?
While lichen planus is usually harmless, you should seek medical help if:
- The rash is spreading or very itchy.
- Mouth sores make eating difficult.
- Nails or scalp are severely affected.
- Early treatment can prevent complications like scarring or permanent hair loss.
Final Thoughts
Lichen planus can be frustrating, but with the right care, symptoms can be managed effectively. If you’re struggling with persistent skin or mouth issues, don’t hesitate to reach out to a dermatologist. You can easily schedule a consultation or book a test through Apollo24|7 for expert guidance.
Remember, you’re not alone—many people live with lichen planus and find relief with proper treatment and self-care. Stay patient, follow your doctor’s advice, and take steps to keep your skin healthy!
Would you like help finding a specialist near you? Visit Apollo24|7 today for trusted healthcare support.
Consult a Dermatologist
Consult a Dermatologist for personalised advice
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Consult a Dermatologist
Dr. Somshukla Ray
Dermatologist
10 Years • MBBS, MD (Dermatology,Venerology & Leprosy), DNB (Dermatology,Venerology & Leprosy)
Kolkata
MCR SUPER SPECIALITY POLY CLINIC & PATHOLOGY, Kolkata
(25+ Patients)
Dr. Madhab Datta
Dermatologist
5 Years • MBBS, MD (DVL)
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Dermatologist
5 Years • MBBS, MD Dermatology, Venerology & Leprosy
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Dr. Sonal Jain
Dermatologist
9 Years • MBBS, MD Dermatology, Venerology & Leprosy
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