Alles wat u moet weten over Lichen Planus - Huidziekten NL

Symptoms and Causes

What are the symptoms of lichen planus?

Lichen planus symptoms depend on where it’s affecting your body:

Tiny, raised dots may develop on your skin, including your genitals. The dots are about the size of the tip of a pin (0.4 mm), and they may grow to the width of a pencil (1 cm). They may also develop into sores.
Tiny white dots may develop on the skin inside of your cheeks, your tongue or your lips.
Your nails may change colors, crack or split, stop growing or fall off.

Lichen planus doesn’t hurt. However, if you scratch your rash, you may break your skin, leading to an infection that can cause pain.

What causes lichen planus to flare up?

The following may cause lichen planus flare-ups:

Hepatitis C.
Vaccines.
Nonsteroidal anti-inflammatory drugs (NSAIDs).
Particular medications used to treat arthritis, heart disease or high blood pressure.
Particular chemicals, metals or pigments.

Is lichen planus contagious?

Summary

Lichen planopilaris is a skin disease that can lead to permanent patchy baldness. The ailment causes an itchy skin rash on your scalp. It can also affect your hairline, eyebrows, and eyelashes in some cases.

While this ailment has no known cause, research shows it may be linked to problems with your immune system. Treatments can't cure this ailment but they can help treat symptoms like itching, burning, and inflammation. Treating symptoms is key to easing the emotional effects of this disease, which can lead to depression and anxiety. Getting emotional support is also an essential aspect of living with this ailment.

Most cases of lichen planopilaris clear within about a year, though the problem can recur. Hair replacement treatments may help you restore hair lost to this ailment.

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

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Pai VV, Kikkeri NN, Sori T. Dinesh U. Graham-little piccardi lassueur syndrome: an unusual variant of follicular lichen planus. Int J Trichology. 2011,3(1):28-30. doi:10.4103/0974-7753.82129
Genetic and Rare Diseases Information and Center. Lichen planopilaris.
National Institute of Arthritis and Musculoskeletal and Skin Diseases. Alopecia areata.
DoveMed. Lichen planopilaris.
Scarring Alopecia Foundation (SAF). How is scarring alopecia treated?
Plante J, Eason C, Snyder A, Elston D. Commentary: a stepwise approach to the treatment of lichen planopilaris. Journal of Dermatology and Skin Science. 2020,2(2).
Singh V, Singh G, Pal M, Tandon K (2017) Treatment of Lichen Planus: A Comparative Study. J Tradit Med Clin Natur 6:246.
Food and Drug Administration (FDA). Clobex.
Scarring Alopecia Foundation. Vitamin D levels in patients with scarring and non-scarring alopecia.
Cictricial Alopecia Research Foundation (CARF). Cosmetic options for covering hair loss.
National Institute of Mental Health. Chronic illness and mental health: recognizing and treating depression.
Scarring Alopecia Foundation (SAF). Common ingredients in shampoos and conditioners can make inflammation worse in lichen planopilaris (LPP) and frontal fibrosing alopecia (FFA).
Seminars in Cutaneous Medicine and Surgery. Lichen planopilaris: update on diagnosis and treatment.

Lichen planus na sluznici usta

Oralni lichen planus je promjena sluznice usta. Bolest obično započinje u obliku niza malih bijelih prištića koji postepeno poprimaju oblik čipkaste mreže. Ponekad se bolest manifestira sjajnim, crvenim, uzdignutim mrljama.

Promjene se kada je u pitanju oralni lichen planus, najčešće pojavljuju s unutarnje strane obraza, te bočno na jeziku. Pacijenti se najčešće tuže na suha bolna usta ili na metalni okus u ustima. Ponekad pacijenti nisu ni svjesni da imaju lichen planus.

Oralni lichen planus najčešće je posljedica emotivnog stresa. Oralni lichen planus je također rijetka pojava. Premda može pogoditi osobu bilo koje dobi, najčešće se javlja kod osoba srednje dobi ili starijih žena. Gotovo polovica osoba koje imaju oralni lichen planus, imaju ga i na koži.

Ako bilo kakva promjena u ustima traje dulje od tri tjedna posjetite liječnika. Najbolji lijek protiv oralnog lichen planusa je održavanje redovne higijene usta tj. pranje zuba četkicom – najmanje dva puta dnevno.

Liječnik će vam propisati kortikosteroidno sredstvo za ispiranje usta. Tablete ćete vjerojatno uzimati svakih nekoliko sati. Ovakvo liječenje pokazalo se uspješnim, te promjene najčešće nestaju unutar nekoliko dana od početka liječenja.

Osobe koje pate od lichen planusa su blago izložene riziku od raka usne šupljine.

Symptoms of Lichen Planopilaris

Symptoms of lichen planopilaris can vary by individual. They can differ depending on where they appear on your body. There are three types of lichen planopilaris that involve slightly different patterns and locations of symptoms:

Classic Lichen Planopilaris: Bald patches on your scalp

Frontal Fibrosing Alopecia:

Bald patches and scarring at your hairline near your forehead
Bald patches and scarring, possibly on eyelashes or eyebrows

Lassueur-Graham-Little-Piccardi Syndrome:

Bald patches on your scalp
Thinning hair in your armpits and groin
Rough bumps around hair follicles

The following general symptoms can occur in all types of lichen planopilaris:

Scaly, shiny patches of skin
Redness and inflammation around hair follicles (shafts on the surface of your skin that hair grows through)
Bald patches on your scalp
Pain, burning, or itching on your scalp
Papules (tiny, red bumps) around hair clusters
Scarring that leads to permanent hair loss (cicatricial alopecia)

Is Lichen Planopilaris the Same as Alopecia Areata?

Lichen planopilaris is a form of scarring alopecia that destroys hair follicles, causing scarring and permanent hair loss. it usually occurs only in the affected patches of the scalp and/or surrounding area.

Alopecia areata can occur anywhere in an area of hair-bearing skin and often involves the scalp and beard. It causes discrete circular patches of hair loss but total hair loss may uncommonly occur as well. While lichen planopilaris causes permanent hair loss, hair loss caused by alopecia areata usually regrows entirely within one year without treatment.

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