Lichen planus
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Brede lesjoner på begge leggen er atypiske. I dette tilfellet er andre kroniske allergiske sykdommer (lichen simplex chronicus) vanligvis mer mistenkt.
Atrophic lichen planus
References
Lichen planus (LP) er en langvarig betennelsestilstand som hovedsakelig rammer voksne i mellomårene. Det kan vises på huden eller slimhinnene som munn, skjede, spiserør, stemmeboks og øyeslimhinne. LP kommer i forskjellige former avhengig av hvordan utslettet ser ut og hvor de vises. Studier tyder på at visse typer LP, som de som påvirker spiserøret eller øynene, kanskje ikke blir diagnostisert nok. Noen former for LP, som de hypertrofiske og erosive typene i munnen, kan være spesielt belastende og vare lenge. Andre faktorer som medisiner eller kontakt med visse stoffer kan utløse lignende utslett.
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 er en hudtilstand preget av lilla, flattoppede nupper og flekker som kan forårsake intens kløe. Disse hudlesjonene kan være plagsomme, spesielt når de påvirker munnen eller kjønnsorganene alvorlig. I alvorlige tilfeller kan oral lichen planus til og med øke risikoen for å utvikle en type hudkreft. Det kan også påvirke hodebunnen og neglene. Mens årsaken til de fleste tilfeller er ukjent, kan noen utløses av visse medisiner eller hepatitt C-infeksjon. Behandling involverer vanligvis sterke kremer for lokale tilfeller og orale steroider for mer utbredte.
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 er en tilstand der immunsystemet forårsaker betennelse, noe som resulterer i karakteristiske merker på hud og slimhinner. Det påvirker omtrent 5 % av voksne, oftere kvinner, og starter vanligvis rundt middelalderen. Oral involvering sees i opptil 77 % av tilfellene, og påvirker hovedsakelig det indre kinnet. Mens noen mennesker kanskje ikke føler noen symptomer, kan andre oppleve smerte og ha problemer med visse matvarer (f. Eks. Sur, krydret) eller tannkrem.
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.
For å bekrefte diagnosen kutan lichen planus, kan en hudbiopsi gjøres. Direkte immunfluorescens (DIF) kan være nyttig hos pasienter med bulløse lesjoner for å skille tilstanden fra en autoimmun vesikulobulløs sykdom.