What causes sudden loss of voice and dry cough when diagnosed with oral lichen planus?
Fungal infection also needs to be ruled out
Hi! Welcome to Healthcaremagic. Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all it's sad to know what you had been going through lately.
Based on the history you have shared, If biposy had been suggestive of typical lichen plannus with upper layers thickening in skin and infiltration of inflammatory cells and loss of basal layers etc and it hasn't responded to steroids, next options can be CNI drugs like tacrolimus or vitamin A analogues or even immunosuppressive drugs like azathioprine but all options can be startified by a rheumatologist in your case but general oral lichen may take up to more than a year to settle completely though lesion can be reduced or controlled after starting the therapy.
I would also like to suggest to have an upper GI endoscopy to rule out oral or esophageal rhush or candiadis as it may worsen with steroids so that needs to be ruled out. A culture from the swab taken from the lessons can also help to diagnose.
Wishing you a speedy recovery. Hope this has answered your query. If you have any more questions please feel free to ask. Regards
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