What is lichen planus nails?

Lichen planus is a benign inflammatory disorder of unknown etiology that may affect the skin, mucosae, scalp, and nails. When the nails are affected, it may lead to permanent destruction with severe functional and psychosocial consequences.

What causes lichen planus on fingernails?

Lichen planus can be triggered by: Hepatitis C infection. Flu vaccine. Certain pigments, chemicals and metals.

How do you treat lichen planus of the nails?

First-line treatment of nail lichen planus is corticosteroids (topical, intralesional, or rarely, systemic), but persistence or relapse of disease may justify corticosteroid-sparing immunosuppressants.

What does lichen planus look like?

purple-red coloured bumps (papules) that are slightly raised, shiny and have a flat top. The papules usually measure 3-5mm in diameter and may also have irregular white streaks (Wickham's striae) thicker scaly patches can appear, usually around the ankles – this is known as hypertrophic lichen planus. itchy skin.

What is the main cause of lichen planus?

The cause of lichen planus is usually not known, although possible causes include: Hepatitis C, a virus that attacks your liver. Certain medicines, including some drugs used to treat high blood pressure, diabetes, heart disease, and malaria. Reactions to metal fillings in your teeth.

Lichen planus - causes, symptoms, diagnosis, treatment, pathology

Is lichen planus caused by stress?

Factors such as stress and psychological problems, especially depression and anxiety, have been mentioned as etiologic factors in lichen planus.

Does Covid 19 cause lichen planus?

Despite viruses being reported as a triggering factor in oral lichen planus, very few cases of oral lichen planus after COVID-19 infection were noticed. The immunological and psychological changes induced by COVID-19 infection may explain the tendency to find lichen planus lesions in COVID-19 patients.

Is lichen planus a fungus?

General Discussion. Lichen planus (LP) is a rare, chronic, inflammatory autoimmune skin and mucous membrane disease.

Is lichen planus cancerous?

Abstract. Background: Oral lichen planus (OLP) and oral lichenoid lesions (OLL) are considered potentially malignant disorders with a cancer incidence of around 1% of cases, although this estimation is controversial.

Where do you get lichen planus?

It can occur anywhere on your skin, but it mainly affects the skin around your genitals and anus (anogenital region). It occurs more commonly in people who have gone through menopause. The difference between lichen planus and lichen sclerosus is that lichen sclerosus rarely affects the mucous membranes in your mouth.

Is nail lichen planus curable?

Nail lichen planus is mostly recalcitrant to treatment and thus is challenging to cure. There is no currently available prospective study with long-term follow-up. Treatment outcomes are unpredictable. Intralesional or intramuscular triamcinolone acetonide should be considered as first-line therapy.

Does lichen planus affect toe nails?

Oral lesions occur in approximately one-third of patients with lichen planus and nail involvement occurs in about 10 percent of reported cases. The majority of nail changes result from damage to the nail matrix, usually involving only one or two fingernails or toenails, but occasionally all nails are affected.

What medications can trigger lichen planus?

Such triggers are often the administration of systemic drugs such as nonsteroidal anti-inflammatory drugs (NSAIDs), sulfonylureas, antimalarials, beta-blockers, and some angiotensin-converting enzyme (ACE) inhibitors.

Will lichen planus ever go away?

In most cases, lichen planus will go away within 2 years. If you have symptoms, such as severe itching or sores in your mouth or genital area, treatment can help. If you have lichen planus on your scalp, treatment is important to prevent permanent hair loss.

What diseases are linked to lichen planus?

Lichen planus is a cell-mediated immune response of unknown origin. It may be found with other diseases of altered immunity; these conditions include ulcerative colitis, alopecia areata, vitiligo, dermatomyositis, morphea, lichen sclerosis, and myasthenia gravis.

Can lichen planus cause death?

The average lichen planus patient died at 71.3 years of age; men died earlier (67.5) than women (74.5). The earliest age at death was 39 for men and 47 for women. The latest was 88 for men and 93 for women. The average psoriatic patient died a little later, at 74.8 years; men died at 73.9 and women at 76.0.

What foods should I avoid with lichen planus?

They'll likely hurt the most when you eat or drink foods that are spicy, salty, acidic (orange juice, tomatoes), or alcoholic. Crispy treats and drinks with caffeine can also cause problems. Your doctor can diagnose oral lichen planus by taking a small piece of skin from inside your mouth.

Can vitamin D deficiency causes lichen planus?

The VDR receptor protects against invasion of microbes into the underlying connective tissue, and in the case of the oral lichen planus, epithelial destruction means apoptosis or planned cell death (15). Vitamin D deficiency results in impaired T cell proliferation and may therefore lead to the development of OLP.

Is sunlight good for lichen planus?

If the lichen planus is on the regular skin and not very severe, treatment is often not needed. If the lichen planus is caused by the sun (some cases of lichen planus pigmentosus), a strong sunscreen (sun protection factor [SPF] 50 or higher) should be used daily.

What vitamins help lichen planus?

Lichen planus disease is a chronic inflammatory lesion without a known etiology. Recent studies have indicated the role of vitamin D on immune system and proposed its anti-inflammatory effects.

Is lichen planus an immune deficiency?

Lichen planus (LP) is thought to be an autoimmune disorder in patients with a genetic predisposition but may be caused by drugs or be associated with disorders such as hepatitis C. LP is characterized by recurrent, pruritic papules that are polygonal, flat-topped, and violaceous and can coalesce into plaques.

Can HPV cause lichen planus?

In the present study, HPV 18 genome was found in 31% of OLP lesions and 7.1 % of controls. In 2009, Szarka¹⁶ reported that HPVs may be involved in the development or progression of potentially malignant oral lesions including oral lichen planus.

Is lichen planus related to diabetes?

Background: Oral lichen planus (OLP) is associated with various other systemic conditions such as hypertension, diabetes mellitus (DM).

Does lichen planus make you tired?

Skin irritation, headache, nausea and tiredness can be side-effects. PUVA - this is a special light therapy that may be advised by a skin specialist if you have extensive and severe lichen planus.

Can lichen planus affect the heart?

Background. Lichen planus is a chronic inflammatory mucocutaneous disease. Recent studies have suggested that it is associated with an increased risk of cardiovascular comorbidities.