What are the 5 Ps of lichen planus?

What are the 5 Ps of lichen planus?

This description is known as the characteristic “6 Ps” of lichen planus: planar (flat-topped), purple, polygonal, pruritic, papules, and plaques.

What is lichen planus histology?

Histology of lichen planus There is irregular epidermal hyperplasia forming a characteristic saw-tooth appearance with wedge-shaped hypergranulosis (Figures 1 and 2). The basal layer of the epidermis exhibits vacuolar degeneration with typically prominent necrosis of individual keratinocytes (Figure 3).

What are the differential diagnoses for lichen planus?

Differential diagnosis of lichen planopilaris: Alopecia areata. Seborrheic dermatitis. Discoid lupus erythematosus.

What is the difference between lichen planus and lichen?

The main difference between the two conditions is that LP has a propensity to involve the mucous membranes including the mouth and vagina which are rarely affected in LS. First-line treatment for LS is a super-potent topical corticosteroid ointment which has a high response rate.

Is lichen planus a symptom of lupus?

Lupus erythematosus lichen planus (LE-LP) overlap syndrome remains an uncommon diagnostic entity, combining both the histologic and clinical features of lupus erythematosus and lichen planus. A rare and challenging diagnosis, clinicopathologic correlation is essential for accurate and timely identification.

How do you get lichen planus?

The cause of lichen planus is usually not known, although possible causes include: Hepatitis C, a virus that attacks your liver. Certain medicines, including some drugs used to treat high blood pressure, diabetes, heart disease, and malaria. Reactions to metal fillings in your teeth.

Is lichen planus autoimmune?

Lichen planus is a chronic, inflammatory, autoimmune disease that affects the skin, oral mucosa, genital mucosa, scalp, and nails.

Is Oral Lichen Planus an autoimmune disease?

Lichen planus is a chronic, inflammatory, autoimmune disease that affects the skin, oral mucosa, genital mucosa, scalp, and nails. Lichen planus lesions are described using the six P’s (planar [flat-topped], purple, polygonal, pruritic, papules, plaques).

Is lichen planus painful?

Oral lichen planus (LIE-kun PLAY-nus) is an ongoing (chronic) inflammatory condition that affects mucous membranes inside your mouth. Oral lichen planus may appear as white, lacy patches; red, swollen tissues; or open sores. These lesions may cause burning, pain or other discomfort.

What are the symptoms of lichen planus?

On the skin,lichen planus causes itchy groups of bumps that are shiny,firm and slightly purple.

  • Lichen planus in the mouth may be painful and look like a white lacy rash.
  • Lichen planus of the nails causes distortion including ridges and grooves.

    • What are potential complications in lichen planus?

    Purplish,flat bumps,most often on the inner forearm,wrist or ankle,and sometimes the genitals

  • Itching
  • Blisters that break to form scabs or crusts
  • Lacy white patches in the mouth or on the lips or tongue
  • Painful sores in the mouth or vagina
  • Hair loss
  • Change in scalp color
  • Nail damage or loss

    • What is the treatment of lichen planus?

    Antihistamines: Pills that help alleviate itching

  • Topical (applied to the skin) corticosteroid: Cream or ointment to reduce swelling and redness
  • Corticosteroid: Pills (such as prednisone) or shots can help when lichen planus lasts a long time or a patient has many bumps or painful sores

    • What is the best mouthwash for lichen planus?

    – Start every morning with a glass of aloe vera juice. – Apply aloe vera gel on the affected areas of the skin. – For oral lichen planus, aloe vera mouthwash can be beneficial. 7