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Pigmentation. Diagnosed As Lichen Planus Pigmentosus By Skin Biopsy. Suggest Treatment
I have pigmentation mostly on the upper part of the body for more that 20 years. I am 40 year old. I have taken all types of treatment i.e, allopathic, Ayurvedic, homeopathic and from parlors (VLCC) also. But nothing has happen. At AIIMS skin biopsy has been taken and the doctor's have diagnosed it as Lichen planus pigmentosus. It is increasing with my age. In the beginning, pigmentation is on the forehead and upper part of the arms and now it is coming down. Pls suggest if you have treated this type of case. Thanks.
Mon, 20 May 2013
Hi thanks for writing to Health care magic.Lichen planus pigmentosus is a specail type of licen planus.It is somewhat resistant to treatment.It is important to know what treatment you have received till now.Systemic steroids,dapsone,topical steroidal lotion are routinely used for it.Tacrolimus applied topically has also good results.So You can use steroid and tacrolimus in rotational therapy.Your treating doctor will guide about this.I hope this will help you.TAKE CARE.
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Hi, As you told ,you are having lichen planus pigmentosus, biopsy proved...
Lichen planus pigmentosus is an uncommon variant of lichen planus characterized by hyperpigmented , dark-brown macules in sun-exposed areas and flexural folds.
Sometime it may be confused with ashy dermatosis....
Erythema dyschromicum perstans (ashy dermatosis) is clinically characterized by blue-gray hyperpigmented mac- ules that sometimes present an elevated ac- tive red border. Distribution tends to be symmetric and is commonly noted on the face, neck, trunk, and upper extremities. Preceding annular erythema is frequently seen .
The treatment of LPP is difficult. Locally steroids and tacrolimus should applied.
Orally steroids in tappering dose, azathioprin,methotraxate, dapsone,griseofulvin and nicotinic acid should betried. There are reports for successful treatment with cholchicine. So consider cholchicine.....
Cholchcine is effective treatment for LPP.
Regards...
Dr.ilyas Patel MD,DVD
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