Lichen Planus: Symptoms, Causes, Diagnosis, and Effective Treatment

What is Lichen Planus?

Lichen planus is a skin condition that causes itchy, flat bumps. These bumps can appear on your skin, mouth, or nails. Often, the rash is purple or reddish and may be shiny. While lichen planus is not contagious, it can be uncomfortable. Many people wonder about the causes and treatment of lichen planus. Understanding this condition helps you manage symptoms and seek the right care.

Common Symptoms of Lichen Planus

Symptoms of lichen planus can vary. However, most people notice changes on their skin or inside their mouth. Early signs often include:

Itchy, flat-topped bumps on the skin

Purple or reddish color to the rash

White patches or lines inside the mouth

Thinning or ridging of the nails

Pain or burning in the mouth, especially when eating

Sometimes, lichen planus affects the scalp or genitals. In these cases, you may see hair loss or sores. Because symptoms can look like other skin rashes, it is important to get a proper diagnosis.

Causes and Risk Factors

Doctors do not know the exact cause of lichen planus. However, experts believe it is linked to the immune system. In some cases, your body may attack its own skin or tissues by mistake. This reaction leads to the rash and other symptoms. Several factors can increase your risk:

Having certain infections, like hepatitis C

Taking some medicines, such as those for high blood pressure or arthritis

Exposure to chemicals or dyes

Family history of lichen planus

Even though these factors may play a role, many people develop lichen planus without any clear reason.

How Lichen Planus is Diagnosed

To diagnose lichen planus, your doctor will first look at your skin or mouth. They may ask about your symptoms and medical history. Sometimes, a small sample of skin (biopsy) is taken for testing. This helps confirm the diagnosis. In some cases, blood tests are done to rule out other causes, such as infections. Because lichen planus can look like other skin problems, seeing a dermatologist is helpful.

Treatment Options for Lichen Planus

There are several ways to treat lichen planus. The main goal is to reduce itching and help the rash heal. Treatment options include:

Topical creams or ointments, such as corticosteroids

Oral medicines to control the immune system

Antihistamines to ease itching

Light therapy (phototherapy) for severe cases

For mouth sores, special mouthwashes or gels may be used. Although lichen planus often improves over time, treatment can speed up healing and prevent discomfort. Always follow your doctor’s advice for the best results.

Lifestyle Tips and Prevention

While you cannot always prevent lichen planus, some steps may help manage symptoms. For example, you can:

Avoid scratching the rash to prevent infection

Use gentle soaps and moisturizers

Stay away from harsh chemicals or dyes

Eat soft foods if you have mouth sores

Practice good oral hygiene

Additionally, managing stress may help, as stress can sometimes make symptoms worse. If you notice new symptoms, contact your doctor early.

When to See a Dermatologist

It is important to see a dermatologist if you notice a new rash that does not go away. Also, if you have painful mouth sores or changes in your nails, seek medical advice. Early diagnosis and treatment can prevent complications. Remember, a dermatologist can help you find the best way to manage lichen planus and improve your quality of life.

Consult a dermatologist for personalized advice on lichen planus.

At Skin Rituals Clinic, our dermatology specialists offer advanced diagnosis and personalized treatment plans for lichen planus and other chronic skin conditions. We’re committed to helping you regain comfort, confidence, and control over your skin health.

👉 Book your consultation today and take the first step toward healthier skin.