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Oral Lichen Planus

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Case14:

34 year old male patient, Mr. J. V. (Patient Reference no. L7739) came with the complaint of diffusely spread papular eruptions all over the body since 3 years. The eruptions were violaceous in colour with mild itching. Few eruptions healed leaving hyperpigmented marks. He had been diagnosed with Lichen Planus and the Histopathology report of his skin lesions confirmed the diagnosis of lichen planus.

The eruptions of LP were brought on by stress. He was on steroidal local applications without much relief. He also had similar eruptions on the scalp which had led to the development of alopecia patches. He also complained of dandruff and itching on the scalp.

Patient was of average built, having craving for spicy food and aversion to sweets. Patient was a perfectionist by nature, and would get angry if work was not done the way he believed it should be done. He was punctual and fastidious. He could not tolerate any lapse from his colleagues. He was anxious about the future of his family.

Based on the above history, he was prescribed Staphysagria 200. The lesions on the body improved considerably within a couple of months of starting treatment. The lesions on the scalp also showed reasonable improvement within about 4-5 months of treatment. The hyperpigmented marks also reduced considerably with the use of these medicines. The patient continues to do well on our treatment.

his case illustrates the efficacy of homoeopathic medicines in treating cases with extensive spread of the disease.

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Case15:

Mrs. U. M. (Patient reference number L7311), a 66 years old lady with a history of oral Lichen Planus since one year, reported to our clinic for treatment. She had a history of dental treatment and initially she had attributed the pain to the friction caused by the new dentures.

She complained of severe burning pain while eating and masticating, the pain was more severe while eating spicy, chilly and warm food. On examination there was a blackish- whitish discoloration on the oral mucosa, there was redness of the oral mucosa and palate.

She also complained of severe pain and stiffness in the left shoulder since the last 20 years for which she was on painkillers. She was diagnosed as having frozen shoulder.

She also suffered from chronic acidity, sour eructations and flatulence. She also had a chronic complaint of allergic rhinitis.

Patient had not responded to the conventional treatment and was on steroids for her oral LP. She was on tab Betnesol 5 mg per day, and ointment Kenacort and ointment Tacroz. The steroids further increased her acidity.

She had an average appetite with a craving for sweets. She had average perspiration. She could tolerate heat and cold equally.

She was a bold lady, irritable but did not express her anger usually. She was weepy and sentimental, by nature. She was an adjustable person, would mix easily with others; she was loving, caring, sympathetic and helpful. She was very attached with her children and would get anxious about there well-being.

She had not suffered from any major illness in the past but she had a strong family history of Hypertension; all her first relatives had Hypertension.

Her treatment was started on 22-10-05 . She was prescribed a dose of Carcinosin 200 along with Aurum Muriaticum 200. Intermittently when her pain would increase, she would be prescribed Capsicum 200 for the burning. Steroids and pain killers were tapered after the first few weeks of treatment itself and she was off these medicines in some time.

Her complaints continued to improve and her follow up on 27-10-06 was as follows:

Oral LP better 70-80 %, now very occasional burning after eating spicy food, especially green chilly. All oral lesions showed significant improvement. She had no pain in the left shoulder. Her acidity had reduced significantly. She did not require any steroids or pain killers anymore. Her Allergic colds had become infrequent now.

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