Q: Whom do I consult for Lichen planus?
A: Consult a dermatologist for lichen planus.
Q: Is it stress-related?
A: Stress does not cause lichen planus but triggers it.
Q: What does skin lichenification mean?
A: When the skin becomes thick and hard it is called lichenification. It occurs due to constant scratching and rubbing of the skin.
Q: What is Koebner response?
A: Lichen planus lesions can also crop up along lines where the skin has been scratched or injured. This is called Koebner’s response.
Q: Is lichen planus hereditary?
A: No. It is not an inherited condition.
Q: What is the prognosis of lichen planus?
A: Usually, in most patients lesions of lichen planus heal within 18 months, and do not recur, although some patients may have a second episode several years later. However some types of lichen planus, particularly those involving the scalp, mouth, or nails may persist for much longer. Although lichen planus may have cleared, pigmented scars may persist on the skin for months, especially in Asian or Afro-Caribbean skin.
Q: Can lichen planus cause cancer?
A: Oral lichen planus is associated with a very tiny risk of progression to oral cancer. Regular followup by a dentist is necessary to detect early lesions. Since smoking and alcohol are known to increase the risk of oral cancer, it is advisable to stop smoking and alcohol intake.
