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Lichen Planus
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What are the treatments for the condition?
If symptoms of the lichen planus are mild, no treatment may be needed. Treatment of lichen planus may include:
antihistamines to reduce the discomfort
liquid lidocaine mouthwashes to numb the affected areas
topical corticosteroids, such as triamcinolone acetonide cream, clobetasol proprionate ointment, or betamethasone proprionate ointment
oral corticosteroids, such as prednisone
topical vitamin A cream applied to lesions to reduce itching and
inflammation
ultraviolet light therapy
What are the side effects of the treatments?
Side effects depend on the specific medications used but may include drowsiness and allergic reactions. Long-term use of oral corticosteroids can lower resistance to infection.
What happens after treatment for the condition?
The skin lesions of lichen planus may clear up completely with treatment. Recurrence of lichen planus is likely when treatment is discontinued. Also, the degree and severity varies with each occurrence.
How is the condition monitored?
Lichen planus of the oral and genital mucosa needs to be monitored
closely, since these lesions are associated with oral and genital cancers. Any new or worsening symptoms should be reported to the healthcare provider.
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Author: Lynn West, MD Reviewer: Eileen McLaughlin, RN, BSN Date Reviewed: 07/13/01
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