Hypertrophic Lichen Planus
Allergy Raghavan Pillai•Gender: Male•Age: 58 years (Elderly)• Chronicity: 3 years
Presenting Complaints & History
- Purplish, flat-topped, extremely itchy bumps on shins and wrists
- Thickened, hyperkeratotic plaques (hypertrophic LP)
- Hyperpigmentation of lesions after itching
- Burning sensation on lesions
Clinical Assessment
A 58-year-old retired bank officer from Triprayar presenting with hypertrophic lichen planus on bilateral lower limbs. Developed dark purple, thick plaques on his shins, causing unbearable itching, especially at night. Treated with high-potency steroid ointments under occlusion with no response.
Diagnostic Investigations: Skin punch biopsy confirming hypertrophic lichen planus.
Homeopathic Therapeutics & Management
Juglans was chosen for its specific action on lichenoid skin eruptions with intense itching, combined with Antimonium Crudum to dissolve thick, hyperkeratotic skin plaques.
Selected Constitutional Remedies: Juglans Cinerea and Antimonium Crudum
Lifestyle & Nutritional Support
Keep legs moisturized; avoid scratching using cool compresses; eat a balanced, anti-inflammatory diet.
Clinical Outcome
Follow-up Period: 1 year- Lesion itching reduced within 1 month
- Thick hypertrophic plaques started flattening by Month 3
- Silvery-purple plaques fully resolved, leaving only faded pigmentation by Month 6
- Completely asymptomatic with healthy skin at 1-year follow-up
✓Medically reviewed by Dr. Navaneeth K. Unni
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