Stephen J. Schueler, M.D.

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Lichen Planus Evaluation

The evaluation of lichen planus starts with a history and physical examination.

Physical findings in someone with lichen planus include:

  • Rash:
    • Raised, patches of shiny, white skin
    • Patches may be grouped
    • Located on the arms, legs, buttocks or scalp
  • Itching
  • Hair loss:
    • May occur if the rash appears on the scalp
  • Oral lesions:
    • White spots in the mouth
    • Spots may be grouped in lines
    • May appear like lace

The diagnosis of lichen planus is confirmed by skin biopsy.

Tests that may be used to evaluate lichen planus include:

Continue to Lichen Planus Treatment

Last Updated: Dec 17, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Lichen Planus References
  1. Bauza A, Espana A, Gil P, Lloret P, Vazquez Doval FJ. Successful treatment of lichen planus with sulfasalazine in 20 patients. Int J Dermatol. 2005 Feb;44(2):158-62. [15689219]
  2. Dissemond J. Oral lichen planus: an overview. J Dermatolog Treat. 2004 Jun;15(3):136-40. [15204144]
  3. Maender JL, Krishnan RS, Angel TA, Hsu S. Complete resolution of generalized lichen planus after treatment with thalidomide. J Drugs Dermatol. 2005 Jan-Feb;4(1):86-8. [15696990]
  4. Sakakibara K, Nakada T, Sueki H, Lijima M, Irisawa K. Annular lichen planus. J Cutan Med Surg. 2004 May-Jun;8(3):173-5. [15578131]
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