Lichen planus

Overview lichen planus is a superficial lesions and the slow development of the skin disease mucosa. Individually or simultaneously in the skin, oral mucosa. More common in middle-aged women. Cause pathogenesis of unknown etiology, it is generally believed that the spirit and neural factors, endocrine disorders, immune abnormalities, gastrointestinal disorders, and so on. Clinical manifestations occur in the buccal mucosa (Map 8), and formation of symmetry can also be found in the tip of lips, teeth, palate and other places. Generally no symptoms, occasionally rough flu. For congestion, erosion, it is burning, irritation in the consumption of food has been particularly noticeable. Major features of the lesions by DKC and Hyperkeratosis formed by white, needle size papules, Arrange these papules linear stripes, stripes intertwined in a circle, tree or mesh pattern. Mucosal lesions base is still soft and flexible. Normal mucosal pattern of the base known as the ordinary type, called mucosal congestive congestive type, known as erosive erosive, Regular starting blister-called blister. A tongue dorsum of the tongue and nipple-shrinking significantly subfoveal, smooth surface was significantly short white-blue plaque-called shrinkage. Map 8 lichen planus lichen planus malignant on the issue, there have been a few cases have been reported. In reported cases to erosion type styles, the type of due diligence. Treatment 1. Normal no special treatment is needed. 2. Chloride quinine : 0.25 grams, two oral / d, a week later renamed the 0.25 grams, a / d ,1-2 months a course of treatment. Medication during leukocyte changes to the sick. 3. Oral vitamin A, 25,000 units, 3 / d. 4. BRM levamisole, transfer factor application. 5. Small lesions in the basal submucosal lesions with 2.5% prednisolone acetate suspension 0.5-1 ml, equivalent to 1% procaine solution, a partial closure. Can also be used to micrograms of vitamin B12100 1% procaine 1 ml of liquid, partially closed. 6. Local Tu lesions with the corticosteroid ointment, erosion surface can be used analgesics film.