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Lichen Planus
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Facts about Lichen Planus:
Lichen planus (LP) is an inflammatory disease that affects the
skin, the mouth (oral), or both. It may also affect the genital
skin. Skin LP affects men and women equally, but oral LP affects
women twice as often as men. LP occurs most frequently in
middle-aged adults. The cause of LP is not known. While there are
many theories to explain LP, most dermatologists believe it can be
classified as an autoimmune disease. This means that white blood
cells which usually fight germs begin to attack the normal parts of
the skin, mucous membranes, hair, and nails. There are cases of
lichen planus-type rashes which occur as allergic reactions to
medications for high blood pressure, heart disease, and arthritis.
Identifying and stopping the drug helps clear up the condition
within a few weeks. Some people with LP can also have hepatitis C,
and the dermatologist may check for it.
Lichen planus appears as shiny, flat-topped bumps that often have
an angular shape. These bumps have a reddish-purplish color with a
shiny cast due to a very fine scale. The disease can occur anywhere
on the skin, but often favors the inside of the wrists and ankles,
the lower legs, back, and neck. The mouth, genital region, hair and
nails are affected in some individuals.
Sources:
American Osteopathic College of Dermatology:
http://www.aocd.org/skin/dermatologic_diseases/lichen_planus.html
MedicineNet:
http://www.medicinenet.com/lichen_planus/article.htm
What are the causes of Lichen Planus?
The exact cause of Lichen planus is not known. The pathogenesis
of LP is immunologically mediated. Whether the foreign antigen is a
virus or a drug is not known. Langerhans cells process antigens,
which are then presented to T lymphocytes. This stimulated
lymphocytic infiltrate is epidermotropic and attacks keratinocytes.
During this lymphocytotoxic process, the keratinocytes release
cytokines that attract more lymphocytes. This process has been
referred to as the lichenoid tissue reaction. In addition, recent
studies reveal a disruption in the epithelial anchoring system.
Some drugs, such as those containing arsenic, bismuth, or gold
can cause a reaction that is indistinguishable from the rash of
lichen planus. Exposure to certain chemicals used in the development
of color photographs can also produce a similar rash. The long-term
use of the drugs quinacrine or quinidine (used for malaria, certain
microscopic organisms, and worms) may produce hypertrophic lichen
planus of the lower legs and other skin and body- wide (systemic)
disturbances. Other unusual causes of lichen planus include liver
disease and what is called graft-versus-host disease in people who
have received a transplant.
Sources:
EMedicine.:
http://emedicine.medscape.com/article/1123213-overview
MedicineNet:
http://www.medicinenet.com/lichen_planus/page2.htm
What are the symptoms of Lichen Planus?
Lichen planus itches with an intensity that varies in different
people from mild to severe.
The onset of lichen planus can be sudden or gradual. The first
attack may last for weeks or months, and recurrences may happen for
years. Children are not often affected by lichen planus. The bumps
at first are 2 to 4 mm in diameter, with angular borders, and a
violaceous color. At the onset of the disease, new bumps may appear
at sites of minor skin injury, such as a superficial scratch. An
excess of pigment (hyperpigmentation) may develop in the affected
skin as the lesions persist. Rarely, a patchy scarring balding
(alopecia) of the scalp occurs.
Signs and symptoms of lichen planus include:
Rows of flat-topped bumps that may vary in
color from purple to pink to red
Itching, which may be severe
Soreness or a burning sensation when
involving the mucous membranes
Grooving, splitting, thinning or nail loss
when involving the nails
Redness, irritation, hair thinning and hair
loss when involving the scalp
The initial attack may persist for weeks or months, and
recurrences can continue over many years. Once the rash resolves,
dark brown or gray spots may linger on the skin. These may be more
noticeable if you have darker skin.
Sources:
MedicineNet:
http://www.medicinenet.com/lichen_planus/article.htm
Mayoclinic:
http://www.mayoclinic.com/health/lichen-planus/DS00782/DSECTION=symptoms
What treatments are available for Lichen Planus?
Most cases of lichen planus are relatively mild. Affected
individuals who do not have symptoms do not need treatment.
If the itch or appearance of the rash are unpleasant, topical
corticosteroid creams may be of help. Topical steroid creams that,
for example, are under wrapping or taped at bedtime may also be
useful. For localized, itchy, thick lesions, injections of
corticosteroids may be given. Antihistamines may blunt the itch,
particularly if it is only moderate. This effect is in part due to
the sedative effect of antihistamines.
In more severe cases, physicians may recommend oral medications
or therapy with ultraviolet light. Orally taken medications may
include a course of oral corticosteroids such as prednisone.
However, the itching may return after the drug has been
discontinued. A low-dose oral corticosteroid every other morning may
be also prescribed. With continued itching, ultraviolet light (PUVA)
treatment may help. For painful lesions within the mouth, the use of
special mouthwashes containing a painkiller (such as lidocaine)
before meals may provide some relief. Any drug or chemical suspected
of being the cause of the lichen planus should of course also be
halted.
Wih that said, treatment may include:
Antihistamines
Phototherapy with ultraviolet light
Cream or ointment applied to the skin
(topical medication) containing corticosteroids
Cream or ointment containing a
steroid-sparing immune-modulating medication, such as imiquimod
(Aldara) or tacrolimus (Protopic)
Pills taken by mouth (oral) corticosteroid
medications, in severe cases
Sources:
MayoClinic:
http://www.mayoclinic.com/health/lichen-planus/DS00782/DSECTION=treatments-and-drugs
MedicineNet:
http://www.medicinenet.com/lichen_planus/page2.htm
HerbaCall Lichen Planus Testimonials:
· Jennifer Vincke said, "I too have been
treated for Lichen Planus in the past. My first episode appeared
just over 2 years ago, starting with a small irritation on my gum
line just above my tooth. Thinking I had a piece of popcorn stuck
under the gum, I scrubbed with the toothbrush really well, which,
the Doctor explained, only irritated it further and caused more
harm. I had been seeing a Periodontist once per year since my
diagnosis of gum disease 4 years ago. I naturally thought my gums
were receding due to a recurrence of my gum disease...I began
treating myself with Herbalife. I rinsed with Herbal Aloe Juice,
swishing really well for a minute or two, then swallowed.
Immediately I felt less tenderness. Then I took 1
RoseOx
and2
Schizandra.
I also use the Ultimate Green Program and continued with those
products as well. The next day, I felt a little better. I continued
to rinse with the
Herbal Aloe Juice
2 to 3 times per day and I took 2 RoseOx and 6 Schizandra. Within
one week, I was completely healed!! My Doctor called me on Tuesday
to prescribe medication but by then, I knew I didn't need drugs!
HERBALIFEAGAIN SAVED THE DAY!! ( I had a fabulous time at the
wedding...I enjoyed the meal and danced all night with my family!!)"
· Sandy Gunn tells Herbacall, "Basically
it's of unknown origin and the sores were erupting in my mouth. This
disease can last from 2 years to life. Steroids to clear the sores
up was one option and the rest they are still looking into. It was
explained tome as the cells were breaking down the tissue and muscle
in my cheek and it would leave this very large angry looking open
sore. I had a biopsy done and they called it Lichen Planus
Disease...I have been on the Ultimate Green since July 1 and had my
last sore July26, 2002 and have not had one since. They typically
erupted every few days. I have even been eating tons and tons of
tomatoes (being summer and they are home grown) and not one
reoccurrence. I am so very pleased as I did not goon the products
for this - I did it because I became a distributor - and since I did
not have any weight to lose, to speak of, I too now have a
testimonial."
· Want more information and more
Herbalife testimonials?
Visit
HerbaCall.com
for more detailed information on many health conditions, news, and
research links.
HerbaCall
has many testimonials on Diabetes and other conditions.
Herbalife products can help calm
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