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Lichen planus (LP) is a disease of the skin and mucous membranes that resembles lichen. It is thought to be the result of an autoimmune process with an unknown initial trigger. There is no cure, but many different medications and procedures have been used to control only the symptoms.
The overall prevalence of lichen planus in the general population is about 0.1 – 4%. It generally occurs more commonly in females, in a ratio of 3:2, and most cases are diagnosed between the ages of 30 and 60, but it can occur at any age
Although lichen planus can present with a variety of lesions, the most common presentation is as a well-defined area of purple-coloured, itchy, flat-topped papules with interspersed lacy white lines (Wickham’s striae). This description is known as the characteristic “6 P’s” of lichen planus:
planar (flat-topped),purple,polygonal, pruritic, papules, and plaques.
Lichen planus is a skin condition that can affect various parts of the body, including the skin, mouth, nails, and genital area. While the condition is not life-threatening, it can be chronic and significantly impact a person’s quality of life.
Here are some of the risks associated with lichen planus:
Chronic Itch: Lichen planus can cause intense itching that can be chronic, leading to skin damage due to constant scratching. Itching can also lead to sleep disturbances, anxiety, and depression.
Scarring: The constant scratching of the affected areas can lead to scarring, which can be permanent and disfiguring.
Painful Sores: Lichen planus can cause painful sores in the mouth and genital area, making it difficult to eat and perform daily activities.
Reduced Quality of Life: Lichen planus can significantly impact a person’s quality of life, affecting their ability to work, eat, and engage in daily activities. The condition can also cause emotional distress, leading to anxiety and depression.
Increased Risk of Oral Cancer: In some cases, lichen planus in the mouth may increase the risk of developing oral cancer. Regular check-ups with a dentist or oral specialist are essential to monitor the condition.
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