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Lichen Planus

Dermatology
AishaGender: FemaleAge: 41 years (Adult) Chronicity: 1 year

Presenting Complaints & History

  • Pruritic, flat-topped purplish bumps (papules) on wrists and ankles
  • Intense, persistent itching that worsens in the evening
  • Wickham's striae (lacy white lines) on the lesions
  • Post-inflammatory dark pigmentation after lesions flatten

Clinical Assessment

Diagnosed with cutaneous lichen planus. Topical steroids failed to stop new lesions from appearing, leading her to seek systemic homeopathic care.

Diagnostic Investigations: Skin biopsy confirming lichen planus; hepatitis C panel negative.

Homeopathic Therapeutics & Management

Constitutional immunomodulation to halt active autoimmune skin flares, soothe itching, and clear pigmentation.

Selected Constitutional Remedies: Sulphur and Arsenicum Album

Lifestyle & Nutritional Support

Avoiding scratching to prevent spreading (Koebner phenomenon), using cold water compresses, and moisturizing with pure coconut oil.

Clinical Outcome

Follow-up Period: 8 months
  • All active purplish papules flattened and resolved
  • Complete resolution of intense itching on wrists and ankles
  • Significant fading of post-inflammatory dark skin pigmentation
  • No new lesions appeared during the 8-month follow-up
Medically reviewed by Dr. Navaneeth K. Unni
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#LichenPlanus#AutoimmuneSkin#Pruritus#WickhamsStriae#Sulphur
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