Lichen planus
☆ U rezultatima Stiftung Warentest-a za 2022. iz Njemačke, zadovoljstvo potrošača ModelDerm-om bilo je samo nešto niže nego s plaćenim telemedicinskim konsultacijama.
Široke lezije na obje potkoljenice su netipične. U ovom slučaju se obično više sumnja na druge hronične alergijske bolesti (lichen simplex chronicus).
Atrophic lichen planus
References
Lichen planus (LP) je dugotrajno upalno stanje koje uglavnom pogađa odrasle u srednjim godinama. Može se pojaviti na koži ili sluzokoži kao što su usta, vagina, jednjak, govorna kutija i sluznica očiju. LP dolazi u različitim oblicima ovisno o tome kako osip izgleda i gdje se pojavljuje. Studije sugeriraju da određene vrste LP, poput onih koje utječu na jednjak ili oči, možda neće biti dovoljno dijagnosticirane. Neki oblici LP, kao što su hipertrofični i erozivni tipovi u ustima, mogu biti posebno opterećujući i dugo trajati. Drugi faktori poput lijekova ili kontakta s određenim supstancama mogu izazvati osip sličnog izgleda.
Lichen planus (LP) is a chronic inflammatory disorder that most often affects middle-aged adults. LP can involve the skin or mucous membranes including the oral, vulvovaginal, esophageal, laryngeal, and conjunctival mucosa. It has different variants based on the morphology of the lesions and the site of involvement. The literature suggests that certain presentations of the disease such as esophageal or ophthalmological involvement are underdiagnosed. The burden of the disease is higher in some variants including hypertrophic LP and erosive oral LP, which may have a more chronic pattern. LP can significantly affect the quality of life of patients as well. Drugs or contact allergens can cause lichenoid reactions as the main differential diagnosis of LP.
Lichen planus (LP) is a chronic inflammatory disorder that most often affects middle-aged adults. LP can involve the skin or mucous membranes including the oral, vulvovaginal, esophageal, laryngeal, and conjunctival mucosa. It has different variants based on the morphology of the lesions and the site of involvement. The literature suggests that certain presentations of the disease such as esophageal or ophthalmological involvement are underdiagnosed. The burden of the disease is higher in some variants including hypertrophic LP and erosive oral LP, which may have a more chronic pattern. LP can significantly affect the quality of life of patients as well. Drugs or contact allergens can cause lichenoid reactions as the main differential diagnosis of LP.
Lichen planus je stanje kože obilježeno ljubičastim, ravnim kvrgama i mrljama koje mogu uzrokovati intenzivan svrab. Ove lezije kože mogu biti uznemirujuće, posebno kada ozbiljno zahvate usta ili genitalije. U teškim slučajevima, oral lichen planus može čak povećati rizik od razvoja neke vrste raka kože. Takođe može uticati na kožu glave i nokte. Iako je uzrok većine slučajeva nepoznat, neki mogu biti izazvani određenim lijekovima ili infekcijom hepatitisom C. Liječenje obično uključuje jake kreme za lokalizirane slučajeve i oralne steroide za one raširenije.
Lichen planus is a skin condition marked by purplish, flat-topped bumps and patches that can cause intense itching. These skin lesions can be distressing, especially when they affect the mouth or genitals severely. In severe cases, oral lichen planus may even increase the risk of developing a type of skin cancer. It can also affect the scalp and nails. While the cause of most cases is unknown, some may be triggered by certain medications or hepatitis C infection. Treatment typically involves strong creams for localized cases and oral steroids for more widespread ones.
Lichen planus is a skin condition marked by purplish, flat-topped bumps and patches that can cause intense itching. These skin lesions can be distressing, especially when they affect the mouth or genitals severely. In severe cases, oral lichen planus may even increase the risk of developing a type of skin cancer. It can also affect the scalp and nails. While the cause of most cases is unknown, some may be triggered by certain medications or hepatitis C infection. Treatment typically involves strong creams for localized cases and oral steroids for more widespread ones.
Lichen planus je stanje u kojem imunološki sistem uzrokuje upalu, što rezultira karakterističnim tragovima na koži i sluzokoži. Pogađa oko 5% odraslih, češće žene, a obično počinje oko srednje dobi. Oralna zahvaćenost se viđa u do 77% slučajeva, uglavnom zahvatajući unutrašnji obraz. Dok neki ljudi možda ne osjećaju nikakve simptome, drugi mogu osjetiti bol i imati problema s određenom hranom (npr. Kiselom, začinjenom) ili pastom za zube.
Lichen planus is an immune-mediated inflammatory condition leading to characteristic lesions on skin and mucous membranes. It presents in up to 5% of the general adult population with a female predilection (2:1); the onset is most commonly in middle age. Up to 77% of patients with lichen planus have oral disease, with buccal mucosa the most common subsite. The oral lesions may be asymptomatic, although a subset of patients have pain and difficulty tolerating certain foods (e.g., acidic, spicy) and toothpaste.
Lichen planus is an immune-mediated inflammatory condition leading to characteristic lesions on skin and mucous membranes. It presents in up to 5% of the general adult population with a female predilection (2:1); the onset is most commonly in middle age. Up to 77% of patients with lichen planus have oral disease, with buccal mucosa the most common subsite. The oral lesions may be asymptomatic, although a subset of patients have pain and difficulty tolerating certain foods (e.g., acidic, spicy) and toothpaste.
Da bi se potvrdila dijagnoza kožnog lihen planusa, može se uraditi biopsija kože. Direktna imunofluorescencija (DIF) može biti korisna kod pacijenata sa buloznim lezijama za razlikovanje stanja od autoimune vezikulobulzne bolesti.