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Lichen Planus Risks, Complications, and Other FAQs

 Lichen planus is not a major health issue; rather, it is a persistent irritation. On the other hand, those who have the oral version are somewhat more likely to get oral cancer.

A class of long-term inflammatory diseases known as lichen planus affects the skin and mucous membranes. It is believed to be an autoimmune disease, when the body's tissues are wrongly attacked by the immune system.

This syndrome can be brought on by things including viral infections, allergies, and some drugs. To find out more about general risk factors, pain thresholds, available treatments, and other topics, continue reading.

Lichen Planus Risks


Should I be worried about lichen planus?

Although lichen planus is often unpleasant, it is not a cause for any concern. It is not harmful or life-threatening, although it can cause itching, burning, or pain, particularly on the skin, mouth, or genital areas.

Mild to severe symptoms are possible, and in certain places—especially the mouth or genitalia—complications such as scarring may appear.

This disorder affects roughly 2.4% of the general population. There are choices for treatment.


Can lichen planus be cancerous?

The majority of lichen planus types, including those that affect the skin or scalp, are not associated with a higher risk of developing cancer.

Oral lichen planus, or OLP, is one kind that has been found to have the potential to raise the risk of oral cancer.

Although the precise cause of this is unknown, researchers think that OLP's persistent inflammation plays a role in aberrant cell proliferation. According to studies, between 1% and 4% of individuals with OLP may later get oral cancer.

It was shown that elderly people and those with fewer routine checkups were more vulnerable. See a healthcare provider regularly to keep an eye out for any changes.


Is lichen planus contagious?

It is not possible to spread lichen planus. An autoimmune reaction, in which the body's immune system unintentionally targets its tissues, is believed to be connected to this inflammatory illness.

In contrast to bacterial (like impetigo), viral (like herpes or chickenpox), or fungal (like athlete's foot) illnesses, lichen planus cannot be transmitted via physical contact or the sharing of personal objects.


Is lichen planus painful?

Usually, lichen planus produces more itching than discomfort. The majority of people experience modest discomfort rather than excruciating pain from the illness.

It typically results in itchy, irritated lumps on the skin, which might worsen if the rash is severe or persistent. Conversely, oral lichen planus can result in excruciating mouth sores and a burning feeling, which makes speaking and eating difficult.


Will I have lichen planus forever?

Although it is regarded as a chronic illness, lichen planus is not usually permanent.

Though recurrences are frequent, the skin lesions, which are frequently found on the lower back, wrists, and ankles, may go away on their own in one to two years. More discomfort can occasionally result from flare-ups brought on by stress, injuries, certain drugs, and infections.

On the other hand, oral lichen planus is more likely to be chronic and may not entirely disappear. This kind might result in symptoms like pain, blisters, or white spots and damages the oral lining.

When the triggering medicine is stopped, the symptoms of drug-induced lichen planus typically go away. Even though the skin may recover, hyperpigmentation is frequently left behind.

Treatment might lessen discomfort and help control the symptoms. Over time, the illness often gets better or goes into remission. However, because lichen planus can reoccur, you may need to see a dermatologist or your primary care physician for routine monitoring and follow-ups.


Is lichen planus treatable?

Although there are treatments for lichen planus, they mostly target symptom management rather than the condition's cure. The kind and severity of the ailment determine the course of treatment.

Treatment for cutaneous lichen planus usually consists of oral corticosteroids, topical corticosteroid creams or ointments, and occasionally light therapy.

To treat OLP, doctors prescribe oral drugs such as systemic corticosteroids or topical corticosteroid gels. They also advise patients to stay away from irritants like alcohol and spicy meals.

It is crucial to quit taking the offending medication if lichen planus is caused by drugs. Before quitting any medications, it's crucial to consult your doctor.


Takeaway

On its own, lichen planus is usually not regarded as hazardous because it is not communicable. It is an inflammatory disease that affects the mucous membranes and skin. Oral lichen planus can marginally raise the risk of oral cancer, although skin and scalp lichen planus usually don't cause major problems.

Seeing your primary care physician regularly might help you effectively manage the disease. You can manage lichen planus and preserve your quality of life with the right care.

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