Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Dermatology (Expert Forum)
Lichen Planus
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center
Brookline - MA
Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.
Lichen Planus
by PAlderman, Nov 25, 2002 12:00AM
I have had Lichen Planus for 8 years. If started after I had a malignant tumor removed in the top lobe of my right lung. Moffitt Cancer Center in Tampa, Fl did my surgery. I had no further treatment after surgery. I thought after my surgery I would not survive so, I did some pretty foolish things. I had breast implants (saline) and a tummy tuck. The lichen planus started about 4 months after all this surgery. Jan - cancer, Feb - new boobs and a flat stomach ( same year ).
I have used so many different creams and ointments from doctors, I can not name the all but, I am currently using Cloderm Cream,0.1% in the morning and Protopic 0.1% at night and Prednisolone Syrup in my mouth.
My mouth always had a sore. Even my lips have spots of very thin skin and tender places. The front of my right leg is the worse spot. It is raised and thick and itches all the time. I have places on my ankles, the backs of my hands, my back, and around one toe nail.
Other doctors have said it will run its course and go away. My question is when and is there any other treatment? Oh! One more thought. Could the material used for the implants have caused the start of the problem and if it did; should I have them removed?
I have used so many different creams and ointments from doctors, I can not name the all but, I am currently using Cloderm Cream,0.1% in the morning and Protopic 0.1% at night and Prednisolone Syrup in my mouth.
My mouth always had a sore. Even my lips have spots of very thin skin and tender places. The front of my right leg is the worse spot. It is raised and thick and itches all the time. I have places on my ankles, the backs of my hands, my back, and around one toe nail.
Other doctors have said it will run its course and go away. My question is when and is there any other treatment? Oh! One more thought. Could the material used for the implants have caused the start of the problem and if it did; should I have them removed?
Doctor's Answer
by Alan Rockoff, MD, Nov 25, 2002 12:00AM
, Nov 25, 2002 12:00AM
I'm not completely sure I understand your full situation. Oral lichen planus is rare--I have no clinical expereince with it. I have read recent reports recommending Protopic. Other treatments include steroids (which you're also using) and retinoids like Retin-A.
Oral lichen planus produces ulcerations on the inside of the cheeks. This doesn't seem to fit well with your statement, "My mouth always had a sore. Even my lips have spots of very thin skin and tender places." Also, oral lichen plkanus is not usually assoociated with lichen planus of the skin, though you refer to the "front of my right leg."
Have biopsies done to substantia the diagnosis? Have you seen a specialist in oral medicine, perhaps in a dental school. Most dermatologists don't have special expertise in intraoral conditions, unless you are working with someone with a particular interest in this area.
I am not aware of any association between lichen planus and implants. You did not give this to yourself.
Best.
Dr. Rockoff
Oral lichen planus produces ulcerations on the inside of the cheeks. This doesn't seem to fit well with your statement, "My mouth always had a sore. Even my lips have spots of very thin skin and tender places." Also, oral lichen plkanus is not usually assoociated with lichen planus of the skin, though you refer to the "front of my right leg."
Have biopsies done to substantia the diagnosis? Have you seen a specialist in oral medicine, perhaps in a dental school. Most dermatologists don't have special expertise in intraoral conditions, unless you are working with someone with a particular interest in this area.
I am not aware of any association between lichen planus and implants. You did not give this to yourself.
Best.
Dr. Rockoff
