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Integrative Management of Lichen Planus 

Integrative Management of Lichen Planus
Integrative Management of Lichen Planus

Reena Rupani

and Mary Teeple

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date: 30 October 2020

Lichen planus is an inflammatory disorder that typically involves flexural skin, oral and genital mucous membranes, and nails, but can be diffuse in distribution and also affect scalp. The classic cutaneous lesion of lichen planus is an erythematous to violaceous, flat-topped, polygonal papule, but can also include erosive, atrophic, or bullous subtypes. Whitish puncta or reticulated networks often develop on the surface of papules and are termed Wickham striae, which are distinguished from “scale.” Oral lichen planus is often characterized by bilateral white striations, papules or plaques that may become erythematous or erosive and are located on the buccal mucosa, tongue or gingiva. While typically described as self-limiting, lesions of lichen planus can persist for months to sometimes years, and can significantly impact quality of life through clinical appearance, associated symptoms, subsequent scarring (scalp and nails), and cutaneous post-inflammatory hyperpigmentation.

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