Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

126 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for lichen planus

Answered by
Dr.
Dr. Naveen Kumar

ENT Specialist

Practicing since :2001

Answered : 2385 Questions

default
Posted on Wed, 20 Aug 2014 in Ear, Nose and Throat Problems
Question: My wife was Dx'ed several years ago with oral lichen planus, it was confirmed by biopsy. She was told
no known cure was known at the time. Since the dx, she has had intermittent problems which have cleared after a reasonable time frame, however, she has recently had recurrent problems with multiple sores in her mouth, which are more painful than normal and have not cleared for about two months now. My question is , has any progress been made in finding a treatment that is helpful.
doctor
Answered by Dr. Naveen Kumar 5 hours later
Brief Answer:
Please see the answer below...

Detailed Answer:
Hi

Thanks for posting the query. I have gone through the history thoroughly and understood the problem. I'll try my best to help you out with this query.

Lichen Planus is an auto immune disorder which doesn't have a complete cure. This is because, there has been some modifications taken place in the normal genes of the body, which is responsible for this condition. Correction of all the genes in the body is not possible and hence there is no medicine to cure this problem.

Various medicines and therapies are tried with variable success. Normally the individuals affected with Lichen Planus are treated with local corticosteroid application and this has been the most effective treatment till date.

Recent trials have been conducted with topical niosomal gel formulation of hydroxychloroquine for the management of oral lichen planus. Niosomes have vesicles which can deliver drug molecules to the desired mucous membrane. These niosomal formulations have proven to be effective in the topical treatment of oral lichen planus in short time with less side effects and no recurrence after stopping the treatment.

Secondly, lasers are also used in treating the painful lesions of the oral cavity. Various types of lasers are used depending upon the severity of the lesions.

At present, the above two treatment modalities have been more promising and considered to be highly effective than oral corticosteroids.

Hope I have answered your query; I'll be available for the follow up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
default
Follow up: Dr. Naveen Kumar 7 hours later
Is the above treatment being used in most physicians offices or is uncommon to find someone using it?
doctor
Answered by Dr. Naveen Kumar 1 hour later
Brief Answer:
Please see the answer below...

Detailed Answer:
Hi

Thanks for writing back

Many tertiary care hospitals do have this facility. You can check it out with the nearest multispecialty hospital.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Drug/Medication ,  
Medical Procedures
Medical Topics

Recent questions on  Hydroxychloroquine

doctor1 MD

Been on plaquenil 200 once a day for 3 weeks for diagnosis of mixed connective disease non lupus. Woke up with measle like rash on torso and hands. Stopped plaquenil Tuesday night. it is now Friday. Aveeno baths and calamine and Benadryl. Rash has not improved

doctor1 MD

I started w/ lower stomach cramping as an onset of diarrhea yesterday afternoon. I rushed home to sit on the toilet for almost an hour relieving my bowels with continued & increasingly stronger cramping. I began sweating & had to remove my wet clothes. Next, bright red blood & mucus & clots came out followed by strong chills. I laid down & still have the cramps. Every 30 min or so I go back to the bathroom with about 1/4 cup of blood & mucus coming out. I'm 55 years old & take arthritis meds-mobic, plaquenil, & hydrocodone. I started taking a baby aspirin which has helped my arthritis pain for the last month & lowering the amount of hydrcodone to 2 per day instead of 4. I always take food & milk with my meds. Could the aspirin be the cause of my now 12 hours of discomfort? Do I have to see my doc or will this eventually stop? Any advice would be welcomed. Thanks for listening.

doctor1 MD

I am 59 year old female. I have sjogrens syndrome. I had lupus like symptoms and have been prescribed plaquenil .I have recently had dizzy feelings and pressure in the head. My blood pressure (110/66) recently climbed to 160/80.I was prescibed 1 tablet (20 mg).a day of olmetec plus (5 days ago) but still have the same symptoms. What do you think? Could the high blood pressure be related to flares I get from Sjogrens ?

doctor1 MD

If I have rheumatoid arthritis , what is safest medication that also helps osteoporosis? How can I reduce swelling in feet and hands? I'm taking high-dose fish oil for RA symptoms. It seems to have reduced pain but not swelling. Thank you. YYYY@YYYY

doctor1 MD

ok. i am experiencing a whooshing sound in my ears coupled with light-headedness. i am 56...rheumatoid arthritis,lupus,iron deficiency,take plaquenil,prednisone,iron,rituxin infusions...the whoosing sound and dizziness are icreading and really bothering me. should i be concerned?

doctor1 MD

I was diagnosed with RA the doctor prescribed the following sulfasalazine 500mg twice a day also hydroxychloroquine 200 mg twice a day also he told me to continue taking methylprednisolone 4mg once a day. I stopped taking the methylprednisolone...

doctor1 MD

I have lupus and i have a severe discoid rash on both my arms. I was prescribed clobetasol propionate foam .05% however my arms HURT really bad and this foam burns really bad. i still use it however. Im hoping there is something that can ease the...