Is a biopsy required to confirm the diagnosis of lichen planus?
No need of biopsy at this point
Thanks for writing to us at HealthcareMagic,
I have gone through your concerns.
Basically lichen planus is a clinical diagnosis and biopsy is usually not required.
If your doctors are sure about the diagnosis there is no need to go for a biopsy.
Moreover, steroids are the treatment of choice for lichen planus.
Also, Tacrolimus is an immunosuppressive drug and since you had a history of squamous cell carcinoma in the past you should not be using it for a long duration.
So I would recommend you to apply clobetasol propionate cream on the affected area twice daily 2 weeks and gradually taper it off.
If required you can use Tacrolimus later on.
The User accepted the expert's answer
Get personalised answers from verified doctor in minutes across 80+ specialties
- Diagnosis of lichen planus pigmentosus
- Diagnosis of genital lichen planus
- Diagnosis of recurrent lichen planus
- Diagnosis of vaginal lichen planus
- Diagnosis of annular lichen planus
- Diagnosis of hypertrophic lichen planus
- Diagnosis of follicular lichen planus
- Diagnosis of small lichen planus
- Diagnosis of mucosal lichen planus
- Diagnosis of erosive lichen planus