Psoriasis

Understanding the Condition

Lichen planus is a chronic inflammatory condition affecting the skin, mucous membranes, hair, and nails. It presents as purple, polygonal papules and plaques with a characteristic lacy appearance. The condition is thought to be autoimmune in nature and can be triggered by various factors including medications, infections, and contact allergens.

Symptoms

  • Purple, flat-topped papules and plaques on skin
  • Lacy white patches on oral mucosa (oral lichen planus)
  • Itching, burning, or pain of affected areas
  • Nail dystrophy, thinning, or loss
  • Hair loss (lichen planopilaris) in scalp involvement

Common Causes

  • Autoimmune T-cell mediated reaction
  • Medication triggers (ACE inhibitors, NSAIDs, beta-blockers)
  • Viral infections (hepatitis C, HPV)
  • Contact allergens and irritants
  • Genetic predisposition and stress

Treatment Options

Topical Corticosteroids

High-potency topical steroids to reduce inflammation and symptoms in cutaneous and oral lichen planus.

Topical Calcineurin Inhibitors

Tacrolimus or pimecrolimus for steroid-sparing management, particularly in oral and sensitive areas.

Systemic Therapies

Oral corticosteroids, retinoids, or immunosuppressants for extensive or resistant lichen planus.

Trigger Identification & Avoidance

Review of medications and identification of contact allergens to reduce disease activity.

Real Results

Before and After Gallery

Before & After

Before & After

Frequently Asked Questions

Why do I need treatment for this condition?

Early and appropriate treatment helps prevent complications, reduces symptoms, improves quality of life, and may prevent progression to more severe disease.

How many treatments do I need?

The number of treatments varies depending on the condition severity, type, and individual response. Your dermatologist will create a personalised treatment plan during consultation.

How long is each appointment?

Initial consultation typically lasts 30-45 minutes. Follow-up appointments are usually 15-30 minutes depending on the treatment required.

Is any pre-treatment preparation required?

Specific pre-treatment instructions will be provided based on your condition and planned treatment. Generally, avoid irritating products and inform us of any medications.

Is there downtime?

Downtime varies by treatment type. Most topical treatments have no downtime. Procedures may involve temporary redness or mild irritation.

Are there common side effects?

Common side effects are typically mild and temporary, including redness, irritation, or dryness. Your dermatologist will discuss specific risks during consultation.

Ready to Start Your Treatment?

Contact Complete Dermatology to book your consultation and begin your skin health journey.

Ready to Get Started?

Book a consultation with Dr Sharon Crichlow to discuss your treatment options.

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Ready to Start Your Treatment?

Patients in Hertfordshire and the surrounding areas who are looking for expert guidance on medical acne treatments are welcome to book a consultation with the team at Complete Dermatology. A clinician will assess individual needs and recommend a tailored approach to achieving clearer, healthier skin.