The reported rates of association have differed widely, probably because of varying study design, oral versus cutaneous lichen planus and geography.
Effective treatment of pruritus can prevent scratch-induced complications such as lichen simplex chronicus and impetigo.
Patients with localized lichen planus are usually treated with potent topical steroids, while systemic steroids are used to treat patients with generalized lichen planus.
This is fairly common, is seen almost exclusively in women over middle age, and is usually a manifestation of lichen planus or mucous membrane pemphigoid.
Thus, the patient should be examined for the characteristic lacy white patterned and erosive lesions of the oral and genital mucosa to rule out lichen planus.
The signs of oral lichen planus are white streaks on the cheeks and gums, which are usually painless and not itchy.
They are totally benign, although occasional patients or physicians become concerned about them or misdiagnose them as, for example, thrush or lichen planus.
Other causes of genital dermatitis, such as lichen planus, can cause similar symptoms.
The differential diagnosis includes psoriasis, lichen simplex chronicus, prurigo nodularis, and lichen planus.
My mouth and tongue are severely inflamed and a biopsy has diagnosed lichen planus.