12yrs female with severe itching...diagnosis and treatment?


Typical itchy, reddish-purple, flat-topped bumps. Some have a white lacy appearance called Wickhams Striae. Features of secondary infection present due to intense itch. Dx :- Lichen planus with secondary infection. LP is not infectious and it does not appear to be inherited. Most dermatologists believe it can be classified as an autoimmune disease. Sometimes, lichen planus-type rashes which occur as allergic reactions to medications for high blood pressure, heart disease, and arthritis maybe responsible . Identifying and stopping the drug helps clear up the condition within a few weeks - that can be ruled out by proper enquire about drugs history. Sometimes LP can also be associated with hepatitis C , so one may rule out by doing Anti HCV Ab test. Rx :- 1 ) There is no known cure for LP but treatment is often effective in relieving itching and in improving the appearance of the rash until it goes away. 2 ) Since every case of LP is different, no one treatment is perfect. 3 ) Topical corticosteroid creams/ointments + Antibiotics like Gentamicin - To apply BD / TDS. 4 ) Oral antibiotics like, Cefuroxime + Clavulinicacid / Cefpodoxime + Clavulinicacid - Doses as per body weight BDPC X 5-7 days. 5 ) Antihistamine of choice like, Levocetirizine + Monteleukast / Phexfenadine + Monteleukast / hydroxyzine hydrochloride - Per oral. 6 ) Oral Steroid with tapering doses. Sometimes : 7 ) Cyclosporine per oral / Cortisone taken internally /Ultraviolet light treatment called PUVA are helpful to give maximum benefit to the patient.

Lichen planus with secondary in defection due to severe itching Antibiotics Antinflamatory Antihistamines Steroids to be given and tapered.

Locally Halobetasone with Gentamycin.

Lichen planus

Lichen planus with superadded infections. Locally steroid with antibiotic ointment to be rubbed so as to penetrate deeply. Orally antihistamines added.Oral Tetracycline or Cotrimoxazole can be given.OnlyvSavlon with glycerine soap used.

lichen planus

Lichen planus hypertrophicus



Lichen planus

Lichen planus hypertrophicus with secondary infection.

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