Lichen planus is an autoimmune, chronic, inflammatory, non-infectious condition affecting skin and mucus membranes. It is characterized by distinctive, flat-topped, reddish-purple skin lesions. Lichen planus lesions can be white, lacy, and painful patches in the mouth.

Although the exact cause of lichen planus is unclear, it is considered an autoimmune disorder. In lichen planus, the immune system targets its skin cells and attacks them. The severity of lichen planus varies in severity and presentation. This makes lichen planus a challenging condition to manage.

The conventional medicine system does not have much to offer to treat lichen planus. The only treatment available is topical or oral corticosteroids. These immunosuppressants are prescribed to control the immune-mediated response. Thus, when steroids are discontinued, the symptoms of lichen planus resurface.

However, homeopathy can effectively treat lichen planus. Homeopathy can give long-lasting solutions to chronic and stubborn lichen planus lesions.

Role of homeopathy in Lichen planus

Homeopathy is effective in treating all types of lichen planus. The scope of homeopathy in different types of lichen planus is different. It is best indicated in oral lichen planus, genital lichen planus, lichen planopilaris, and lichen planus pigmentosus.

Homeopathy gives the best results if you start treatment soon after the diagnosis. Treatment becomes prolonged when lichen planus is tampered with steroids.

Homeopathic medicines are prepared from natural substances. Thus, they are gentle and harmless. Also, they correct the root cause that alters the immune system without suppressing it. These medicines also prevent its further spread and heal lesions and pigmentation caused by lichen planus lesions.

Top five remedies for Lichen planus

Sulphur (Sulph.)

Common name: Sublimated Sulphur

Sulphur is the best remedy for cutaneous lichen planus. It is indicated when the

lichen planus eruptions increase rapidly and worsen after applying other external ointments.

Lichen planus with dry, unhealthy skin with papules respond very well to Sulphur. Extreme itching eruptions that get relieved by scratching are best treated by this remedy. These people complain of a burning sensation after scratching. Lichen planus itching worse at night and while getting warm in bed is a keynote symptom of Sulphur.

Arsenic album (Ars.)

Common name: Arsenious acid

Ars. alb. is an effective homeopathic medicine for lichen planus eruptions that are scaly and itchy. This remedy proves to be very efficient for blue lichen planus eruptions that are dry, rough, and have intense scaling.

Lichen planus eruptions that are extremely dry, with intense itching compelling the person to scratch constantly, is an indication of this remedy. The more the scratching, the worse it gets.

Ars. alb. treats the later stages of lichen planus eruptions that have resolved, leaving the underlying skin hard. The medicine Ars. alb. is also indicated in the lichen planus of the scalp with thick scabs.

Mercurius solubilis (Merc.)

Common name: Quicksilver

Merc. sol. is one of the best remedies for mucosal lichen planus, especially oral eruptions. It proves to be very efficient in the case of lichen planus with irregular ulcers inside the cheeks. The edges of these lichen planus mucosal ulcers are not well-defined. These give cheeks a very unhealthy and dirty appearance. Often, there is increased saliva and foul odor from the mouth in lichen planus.

Kalium iodatum (Kali-i.)

Common name: Iodide of potassium

Another top remedy for lichen planus of legs is kali. iod. It helps in cases of lichen planus with purplish patches all over the body, especially the legs.

This remedy is indicated for dry, papular eruptions with itching. The itching worsens at night, from heat, and even from the heat of bed covers.

Sulphur iodatum (Sul-i.)

Common name: Iodide of sulphur

Sulphur iod. is one of the top natural remedies for lichen planus over the face and arms. These lichen planus eruptions are covered with papular rashes and have constant itching. Obstinate lichen planus over arms, with an itchy rash Sulphur iod. is an ideal remedy.

Take Homeopathy Treatment for Your Health Conditions

Causes of lichen planus

The exact cause of lichen planus is still under research. However, it involves several factors. Some possible causes and triggers of lichen planus include:

Autoimmune Reaction

Lichen planus can be due to an abnormal immune response. The immune system targets your healthy skin cells in such a response.

Genetic Predisposition

Some people are genetically predisposed to lichen planus. The family history of lichen planus makes them more susceptible.

Viral infections

Certain viral infections, like Hepatitis C, can trigger lichen planus in some people.

Medications

Certain medications like non-steroidal anti-inflammatory drugs and beta-blockers, can cause lichen planus as a side effect.

Allergies

Oral lichen planus can be due to allergic reactions to dental materials or fillings.

Stress

In some folks, psychological stress may trigger lichen planus.

Contact with certain chemicals

Localized lichen planus may develop due to chemicals or allergens.

Symptoms of Lichen planus

Symptoms of different types of lichen planus are slightly different. Most common symptoms of lichen planus include:

Skin lesions

Lichen planus skin lesions appear as flat-topped, shiny, reddish-purple bumps or lesions on the skin. These lichen planus lesions may develop over the wrists, ankles, lower back, and sometimes the genitals. There can be itching on the lichen planus lesions.

Oral lichen planus

Lichen planus in the mouth appears as white, lacy patches on the inner side of your cheeks or tongue. Oral lichen planus can be painful or have a burning sensation.

Genital lichen planus

In the genital area, lichen planus can result in lesions that cause discomfort, itching, or pain.

Nail changes

Lichen planus makes the nail appear thin, ridged, or grooved.

Hair and scalp involvement

Redness, inflammation, and hair loss are seen when lichen planus affects the scalp.

Itching

Pruritus, or itching, is a common symptom of most types of lichen planus.

Koebner phenomenon

The Koebner phenomenon is when new lichen planus lesions develop at skin injury or trauma sites.

The severity of lichen planus symptoms can vary from person to person. However, if you are experiencing any of these, seek help from a healthcare professional.

Treatment for Lichen planus

Lichen planus treatment depends on your age, type, and severity of lichen planus. It is a condition that can be managed but not cured completely. Here are some treatment options for lichen planus:

Topical steroids

Topical corticosteroid creams or ointments are often prescribed for mild cases of lichen planus. It helps to reduce inflammation and itching.

Oral steroids

Oral steroids are used in severe cases of lichen planus. Especially, where mucus membranes get affected.

Topical calcineurin inhibitors

Medications like tacrolimus or pimecrolimus are used in areas where corticosteroids are less effective. It helps reduce inflammation in lichen planus.

Oral medications

Oral medications like antihistamines, retinoids, or other immunosuppressive medicines are sometimes prescribed to control symptoms of lichen planus.

Light therapy or phototherapy

Ultraviolet (UV) light therapy is used in some cases of lichen planus.

Oral rinses

Oral rinses or gels with corticosteroids are prescribed for lichen planus affecting the mouth or oral mucosa.

Emollients

Applying moisturizers and emollients can relieve dryness and itching in affected areas of lichen planus.

Lifestyle modifications for Lichen planus

Lifestyle modifications play a significant role in managing the lichen planus and minimizing its symptoms. Here are some lifestyle modifications that can benefit those with lichen planus.

Lifestyle considerations

Quit alcohol and smoking

Eliminating alcohol consumption and quitting smoking can positively impact health and help manage lichen planus.

Good oral hygiene

For oral lichen planus, maintaining good oral hygiene practices is essential. It helps to reduce the discomfort of lichen planus. It also reduces the risk of secondary infections in oral lichen planus. Regular dental check-ups can be an added benefit if you have oral lichen planus.

Stress management

Stress can exacerbate lichen planus symptoms. Practicing stress reduction techniques like meditation, yoga, or deep breathing exercises can be helpful.

Avoid triggers

Some substances like medications, allergens, or specific foods can trigger lichen planus flare-ups. Identifying and avoiding these triggers can make a difference in lichen planus flare-ups.

Skincare

Skin care plays a crucial role in lichen planus management. Applying moisturizer can prevent skin dryness and itching. Also, avoid harsh soaps and scented products that can cause skin irritation.

Protect your skin from trauma

Skin injuries can trigger new lichen planus lesions. Take precautions to protect your skin from injury, cuts, or abrasions to prevent new lesions.

Conclusion

Stopping the immune response to manage lichen planus is not a practical solution. Homeopathy can correct your hyperactive immune system and prevent autoimmune responses. Thus, constitutional homeopathic medicines for lichen planus yield gentle, safe, and long-lasting results.

References

  • Nwabudike L, Miulescu M, Tatu A. Case series of alternative therapy for generalised lichen planus: Four case studies. Exp Ther Med [Internet]. 2019 [cited 2023 Oct 21];18(2):943. Available from: http://dx.doi.org/10.3892/etm.2019.7677
  • Cassol-Spanemberg J, Rodriguez-de Rivera-Campillo ME, Otero-Rey EM, Estrugo-Devesa A, Jane-Salas E, Lopez-Lopez J. Oral lichen planus and its relationship with systemic diseases. A review of evidence. J Clin Exp Dent [Internet]. 2018 [cited 2023 Oct 21];10(9):0–0. Available from: http://dx.doi.org/10.4317/jced.55145
  • Arnold DL, Krishnamurthy K. Lichen Planus. StatPearls Publishing; 2023.https://www.ncbi.nlm.nih.gov/books/NBK526126/
  • Lucchese A, Di Stasio D, Romano A, Fiori F, De Felice GP, Lajolo C, et al. Correlation between oral lichen planus and viral infections other than HCV: A systematic review. J Clin Med [Internet]. 2022 [cited 2023 Oct 21];11(18):5487. Available from: http://dx.doi.org/10.3390/jcm11185487
  • Adnane S, Mahad C, Haitami S, Ben Yahya I. Hepatitis C virus infection and oral lichen planus: A controversial association. Advances in Oral and Maxillofacial Surgery [Internet]. 2022;6(100271):100271. Available from: https://www.sciencedirect.com/science/article/pii/S2667147622000218
  • Thompson DF, Skaehill PA. Drug-induced lichen planus. Pharmacotherapy [Internet]. 1994 [cited 2023 Oct 21];14(5). Available from: https://pubmed.ncbi.nlm.nih.gov/7997389/
  • Syed M. Allergic reactions to dental materials- A systematic review. J Clin Diagn Res [Internet]. 2015 [cited 2023 Oct 21];9(10):ZE04. Available from: http://dx.doi.org/10.7860/jcdr/2015/15640.6589
  • Kalkur C, Sattur A, Guttal K. Role of depression, anxiety and stress in patients with oral lichen planus: A pilot study. Indian J Dermatol [Internet]. 2015 [cited 2023 Oct 21];60(5):445. Available from: http://dx.doi.org/10.4103/0019-5154.159625
  • Liden C. Lichen planus in relation to occupational and non-occupational exposure to chemicals. Br J Dermatol [Internet]. 1986 [cited 2023 Oct 21];115(1):23–31. Available from: https://pubmed.ncbi.nlm.nih.gov/3730278/
  • Lodi G, Manfredi M, Mercadante V, Murphy R, Carrozzo M. Interventions for treating oral lichen planus: corticosteroid therapies. Cochrane Libr [Internet]. 2020 [cited 2023 Oct 21];2020(2). Available from: http://dx.doi.org/10.1002/14651858.cd001168.pub3
  • Arduino PG, Carbone M, Della Ferrera F, Elia A, Conrotto D, Gambino A, et al. Pimecrolimus vs. tacrolimus for the topical treatment of unresponsive oral erosive lichen planus: a 8 week randomized double?blind controlled study. J Eur Acad Dermatol Venereol [Internet]. 2014 [cited 2023 Oct 21];28(4):475–82. Available from: https://pubmed.ncbi.nlm.nih.gov/23451852/
  • Dawood M, Sizopoulou C, Greenberger S, Barzilai A, Pavlotsky F. Narrowband ultraviolet B radiation for lichen planus: Long-term follow-up of 192 patients. The Journal of Clinical and Aesthetic Dermatology. 2022;15(4):31.Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9017671/#:~:text=Today%2C%20NB%20UVB%20is%20the,in%20remission%20after%20one%20year
  • Sandhu S, Sandhu J, Bansal H, Dua V. Oral lichen planus and stress: An appraisal. Contemp Clin Dent [Internet]. 2014 [cited 2023 Oct 21];5(3):352. Available from: http://dx.doi.org/10.4103/0976-237x.137946