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Lichen planus normally goes away on its own. If treated the physical symptoms may diminish or disappear but the condition may last a while longer. The average duration of lichen planus is about 4 years and it may recur even after going away for some time.

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Differentiate lichen planus and ring worm?

Lichen planus is a relatively common skin disease that comes in episodes lasting months to years. The onset may be gradual or quick, but its cause, like many skin diseases, is unknown. It appears to be a reaction in response to more than one provoking factor. Theories include stress, genetics, infective (viral hepatitis C) and immunologic (autoimmune). There are also drugs that produce lichen planus-like allergic reactions to high blood pressure, heart disease, and arthritis medications. Lichen planus appears as shiny, flat-topped bumps that often have an angular shape. These bumps have a reddish-purplish color with a shiny cast due to a very fine scale. The disease can occur anywhere on the skin, but often favors the inside of the wrists and ankles, the lower legs, back, and neck. The mouth, genital region, hair and nails are affected in some individuals. Thick patches may occur, especially on the shins. Blisters may rarely occur. Bumps may appear in areas of trauma on some individuals. About 20 percent of the time lichen planus of the skin causes minimal symptoms and needs no treatment. However, in many cases the itching can be constant and intense.Ringworm is a fungal infection which can effect any part of body from scalp to toes. Though the name is ringworm, it has nothing to do with ringworm. The ringworm can be irritating on the skin or otherwise. It is completely curable and is no big cause of concern as Lichen Planus, though it is more comman than that. It can be cured using anti fungal creams.


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Although there is no definitive cure and relapses are always possible, many things are used to try to treat the symptoms of this disease. Most commonly, topical or oral steroids (or even an injection into the site, depending where the lesions are and how severe they are) or antihistamines are used. Sometimes other medications, such as retinoid-based drugs (such as Accutane) are tried. For severe cases, immunosuppresants (drugs that lower the body's natural immune response) such as cyclosporine can be tried. One key is to try to reduce or eliminate stress since flare-ups seem to occur or be worse during stressful times. The main thing is to keep following up with a physician since each person is different and treatments need to be geared to individuals. Hope this helps! Dr. B.


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