How do I know if I have Lichen Planus?

How to Determine if You Have Lichen Planus

Lichen planus is a chronic inflammatory skin condition that affects the skin, mucous membranes, hair, and nails. It is characterized by the development of itchy, flat-topped, purple or reddish bumps on the skin. If you suspect you may have lichen planus, here are some key indicators to consider:

1. Appearance of Skin Lesions:

The primary symptom of lichen planus is the presence of distinctive skin lesions. These lesions typically appear as shiny, flat-topped bumps with a polygonal shape. They may be purple, reddish, or brown in color and often have fine white lines running through them, known as Wickham's striae. The lesions can occur anywhere on the body but are commonly found on the wrists, ankles, lower back, and genitals.

2. Itching and Discomfort:

Lichen planus lesions are often accompanied by intense itching, which can be a significant source of discomfort. The itching may worsen at night or after exposure to heat, making it difficult to resist scratching. Scratching can further irritate the skin and lead to secondary infections.

3. Oral Involvement:

Lichen planus can also affect the mucous membranes, particularly in the mouth. Oral lichen planus presents as white, lacy patches or sores on the inside of the cheeks, gums, tongue, or roof of the mouth. These lesions can be painful, especially when consuming spicy or acidic foods.

4. Nail Abnormalities:

In some cases, lichen planus can cause changes in the nails. Affected nails may become thin, ridged, grooved, or pitted. They may also develop a yellowish or reddish-brown discoloration. Nail involvement is more common in chronic cases of lichen planus.

5. Genital Involvement:

Lichen planus can affect the genital area, causing itching, pain, and the appearance of lesions. In males, the glans penis and foreskin may be involved, while in females, the vulva and vaginal walls may be affected. Genital lichen planus can significantly impact sexual function and quality of life.

6. Medical Evaluation:

If you suspect you have lichen planus based on the aforementioned symptoms, it is crucial to consult a dermatologist or healthcare professional for a proper diagnosis. They will examine your skin, mucous membranes, and nails, and may perform a biopsy to confirm the presence of lichen planus.

Remember: While the aforementioned symptoms are indicative of lichen planus, they can also be caused by other skin conditions. Only a qualified healthcare professional can provide an accurate diagnosis.