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Patient / Body Info
Body Part
*
Clinical Details
Symptoms & Signs
Intense itching (pruritus). Violaceous (purple) polygonal papules on wrists and ankles. Wickham striae (white lacy lines). Painful erosive oral lesions. Commonly affects skin of arms, legs, back and inside of mouth.
Disease / Diagnosis
Lichen Planus
Tests to be Done
Clinical diagnosis. Skin biopsy if diagnosis uncertain. Check for Hepatitis C (associated).
Test Findings / Report
Symptoms: Intense pruritus, violaceous polygonal papules, Wickham striae, erosive oral lesions. Affects wrists, ankles, oral mucosa.
Treatment
Medicine
Omnacortil (Prednisolone) Pan-40 (Pantoprazole) Bilagra (Bilastine) Xyzal (Levocetirizine) Dersol 12% w/w Ointment (Salicylic Acid) Folitrax (Methotrexate)
Class
Dose
Frequency
Duration
Injection Required
— Select —
Yes
No
Additional Notes
Others
Prescribed at Chitra Dermatology clinic.
Doctor's Notes
Omnacortil (Prednisolone): suppresses immune system to reduce inflammation — use tapered course to minimise side effects. Pan-40: protects stomach from steroid/NSAID-induced ulcers. Bilagra/Xyzal: antihistamines for itch control. Dersol 12% (Salicylic Acid): softens thickened skin — keratolytic. Folitrax (Methotrexate): for severe/recalcitrant lichen planus — weekly immunosuppressive therapy; 75–79% show significant improvement. Monitor LFT, CBC regularly.
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