Lichen Planus Treatment

Lichen planus is an inflammatory autoimmune condition that classically presents as flat-topped, purple, intensely itchy papules on the wrists, ankles and lower back, often with fine white lines (Wickham's striae) on the surface. It can also affect the mouth (white lacy patches, painful erosions), scalp (causing scarring hair loss / lichen planopilaris), nails (ridging, thinning), and genitals.

Most cases are idiopathic, but some are triggered by hepatitis C, certain medications, dental amalgams, or contact allergens. At Orange Skin Clinic, Tirunelveli, we screen for these factors during the initial consultation, and confirm the diagnosis with dermoscopy and skin biopsy when needed — particularly for oral and scalp variants where misdiagnosis is common.

For classic skin lichen planus, treatment combines high-potency topical corticosteroids, intralesional steroid injections for thick plaques, oral antihistamines for itch, and phototherapy (NB-UVB or PUVA) for widespread disease.

Oral lichen planus requires a specialised approach — high-potency topical steroids (often in adhesive base), tacrolimus mouthwash, careful trigger removal (sharp dental edges, allergen contact), and screening for malignant change in long-standing erosive cases.

Lichen planopilaris of the scalp is a dermatology emergency — without prompt treatment it causes permanent scarring hair loss. We use combination intralesional steroids, hydroxychloroquine, oral immunomodulators and minoxidil to halt progression.

Most patients see significant improvement within 2–6 months. If you have unexplained purple itchy bumps or white patches in the mouth, do not delay — search for lichen planus treatment in Tirunelveli and book a structured evaluation.