E. Lichen planus – Explanation
Lichen planus
Lichen planus is a skin disorder of unknown etiology, most probably being immune
mediated.
Lichen planus is a skin disorder of unknown etiology, most probably being immune
mediated.
Features
- Purple, pruritic, papular, polygonal rash on flexor surfaces
- Lacy white pattern on buccal mucosa
Mnemonic: 4P
Purple
Pruritic
Papular
Polygonal rash
DIFFERENCES BETWEEN CANDIDA, LICHEN PLANUS AND LEUKOPLAKIA
| Oral Candidiasis | Oral Lichen Planus | Leukoplakia |
|---|---|---|
 |
 |
 |
| History of immunosuppression or smoking e.g. taking oral/inhaled steroids Thick white marksTreatment If using inhaled steroids, good inhaler technique, spacer device, rinse mouth with water after use.Stop smokingOral fluconazole 50 mg/day for 7 days. |
Lace like appearance Also with purple, pruritic, papular, polygonal rash on flexor surfaces |
Also history of smoking Raised edges/ bright white patches and sharply defined and cannot be rubbed out like a candida patch.TreatmentStop smoking |
