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Suggest Treatment For Lichen Planus

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Posted on Mon, 5 Dec 2016
Question: Hi Doctors, my wife 31 years old and she has black colour patches inside the cheek. Appears on both the side and the skin on the last tooth edge seems cracked. Visited dermatologist an year back and they conducted biopsy test and couldn't find any issues. It's been an year and we feel it's spreading further and dermatologist recommended to use the methosone tablet, it didn't seem help either since last 4 weeks of use. This similar spots were previously noticed in vagina area but it seems controlled but inside mouth is not. Any suggestions here? I'm really worried as it's not getting better.
doctor
Answered by Dr. Dr. Rahul Kumar (22 minutes later)
Brief Answer:
Lichen planus

Detailed Answer:
Hello
Thanks for the query.
Probably she has developed lichen planus.
It is an autoimmune disorder.
Can you please upload a photograph of the involved area.
This will help me in giving a closer diagnosis and better way of management.
Waiting for your response.
Thank you.
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Dr. Rahul Kumar (13 minutes later)
Thanks for the prompt respons. I have uploaded few photos from inside mouth area which impacted. e
doctor
Answered by Dr. Dr. Rahul Kumar (45 hours later)
Brief Answer:
Use kenacort

Detailed Answer:
Hello
Thanks for the follow up and photograph.
It is lichen planus an autoimmune disorder.
I treat such cases with a topical steroid preparation.
She can apply kenacort oral paste thrice daily for a month.
She should also take vitamin C 500 mg daily for the same duration.
This should help her.
This is a benign condition and will not cause any harm to her.
It will not result in cancer.
Just relax.
Let me know if you have any other doubts.
Thank you
Above answer was peer-reviewed by : Dr. REMY KOSHY
doctor
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Follow up: Dr. Dr. Rahul Kumar (1 hour later)
Hi

Thanks, I'll buy her Vitamin C tablets.

My wife js currently using Dexmethasone (streroid tablets) and she had used Kenalog which i hope similar to Kenacort. Since she already using / used the above... is there any anything else to be given a try? Or Did I mention anything different to what you have recommended?

Thanks
doctor
Answered by Dr. Dr. Rahul Kumar (28 hours later)
Brief Answer:
Use kenacort

Detailed Answer:
Hello
Thanks for the follow up.
It's same but kenacort is better.
Just let her try it for a month.
No need to take dexamethasone.
Oral steroids might harm her.
Let me know if you have any other doubts.
Thank you.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Dr. Rahul Kumar

Dermatologist

Practicing since :2010

Answered : 6636 Questions

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Suggest Treatment For Lichen Planus

Brief Answer: Lichen planus Detailed Answer: Hello Thanks for the query. Probably she has developed lichen planus. It is an autoimmune disorder. Can you please upload a photograph of the involved area. This will help me in giving a closer diagnosis and better way of management. Waiting for your response. Thank you.