Oral lichen planus cancer pictures

However, some research suggests that people with lichen planus may have an increased risk of developing cancer of the lip, tongue, oral cavity, esophagus, and larynx Oral Lichen Planus Photos: Before and After Treatment Pictures of Mouth LP Patients. Here we have unique collection of oral lichen planus photos, these are before and after treatment pictures of patients treated for oral lichen planus. These photos showcase oral lichen planus spots on tongue, mouth, jaws, mouth top and vestibule region. Read more Lip cancer lesions can develop anywhere on your lips, but they are most likely to occur on your lower lip. Getting too much sun is a risk factor for oral cancer, especially lip cancer.Making sure you have sun-protectant lip balm or lipstick is one way to cut your risk. Tobacco use, whether smoking or chewing, can also lead to cancer of the lips (as well as other mouth cancers) It is more likely to occur in oral lichen planus lesions that are ulcerated (open sores). Treatment of Lichen Planus. The skin lesions can resolve within months while the mouth lesions may take several years. About half of all cases of cutaneous (skin) lichen planus will resolve within 6 months and approximately 85% resolve within 18 months

Picture of Lichen Planus (Oral) Lichen planus (LP) is a common inflammatory disease involving the skin and mucous membranes. Many clinical variants exist that include atrophic, ulcerative, bullous, annular, linear, inverse, hypertrophic, lichen planopilaris, actinic LP and LP pigmentosus. Oral lichen planus at baseline (left) Oral lichen planus can't be passed from one person to another. The disorder occurs when the immune system mounts an attack against cells of the oral mucous membranes for unknown reasons. Symptoms can usually be managed, but people who have oral lichen planus need regular monitoring because they may be at risk of developing mouth cancer in the. Lichen Planus and Mouth Cancer . Oral lichen planus that appears as white spots or fine lines is probably not related to mouth cancer, but in about 40 percent of cases a more serious type develops Oral Cancer Pictures. Phemphigoid: Bullous phemphigoid is an auto-immune disease which causes blistering of the skin. It can involve the mucous membranes in 10% to 25% of patients. Blisters form when antibodies attack proteins in the basement membrane of the skin (between the dermis and epidermis). Many cases are self limited and go into. What are the complications of oral lichen planus? Oral lichen planus can be very painful and ulceration may lead to scarring. Sometimes eating is so uncomfortable that affected person is unable to maintain adequate nutrition. Lichen planus, particularly the erosive form, may rarely lead to oral cancer (squamous cell carcinoma)

In about 1-3% of cases, longstanding erosive lichen planus can result in cancer (squamous cell carcinoma, SCC) of the mouth (oral cancer), vulva (vulval cancer) and penis (penile cancer). This should be suspected if there is an enlarging lump or an ulcer with thickened edges My errosive lichen planus turned into cancer. You must be biopsyed. I would suggest John Hopkins ENT or Boston Mass. Hosptial Dr. Jermy Richmon. who performed my oral cancer surgery from errosive lichen planus. I will see a speclist in oral issues next week recommended by Dr. Richmon. Ten hours by train. I will keep you posted

9 Oral Lichen Planus Risk Factors. 10 Oral Lichen Planus Pictures. It is a persistent medical condition which affects the mucous membranes of the mouth and gives rise to papules, bilateral white striations, plaques on the gingivae and tongue. These forms of Lichen Planus lesions are not transmittable and have a distinct clinical morphology Some research indicates a greater likelihood of developing oral cancer if you have erosive oral lichen planus. Approximately 1 to 3 percent of people with oral lichen planus eventually develop oral cancer but the question is still to be resolved due to some cases that may not have been true lichen planus Dr. Louis Gallia answered. Rarely: Lichen planus, an autoimmune disease, may lead to oral cancer in rare cases. If you notice a change in the pattern or your lesions, or worsening of sy.

Some evidence suggests that oral lichen planus may be an early warning for oral cancer. Make sure you see your dentist for an oral exam at least twice a year. When to call the doctor. If you have any symptoms of lichen planus, talk with your doctor. You may need to see a dermatologist for the most effective care Oral lichen planus is a inflammatory condition that affects the inside of the mouth. Signs and symptoms include patches of fine white lines and dots most commonly in the inside of the cheeks, gums, and/or tongue. Most people with lichen planus experience no to few symptoms, others may have painful sores or ulcers in the mouth There's a slight chance that oral lichen planus can lead to oral cancer. Make sure to get a screening for oral cancer every 6 to 12 months. Make sure to get a screening for oral cancer every 6 to. According to the medical studies, Oral Lichen Planus is also a predisposing factor to Oral Cancer in about 1%-5% of the patients. 1 to 5 individuals in every 100 patients suffering from oral lichen planus is predisposed to Oral cancer, which when taken into account leads to a large number in totality. Also read: Drugs that Cause Oral Lichen Planus

What does oral cancer look like? Images and symptom

Calcineurin inhibitors, similar to oral drugs used to prevent rejection of transplanted organs, may be effective for treating oral lichen planus. But these medications have a Food and Drug Administration warning because of an unclear association with cancer Lichen planus is an inflammatory condition that affects the skin and mucous membranes. It can result in an itchy, non-infectious rash and can affect many parts of the body, including your trunk, arms, legs, scalp, nails, genitals, and mouth - when it affects the mouth, it is known as oral lichen planus Oral lichen planus (OLP) is an immune-related disorder with unknown exact etiology but established prevalence in females. There are six clinical forms of OLP, ranging from asymptomatic white keratotic lesions to painful erosions and ulcerations. The aim of the present report is to overview pathologic and therapeutic aspects

Oral Lichen Planus Photos: Before and After Treatment

Lichen planus is an itchy skin rash that is caused by an immune response. It can occur anywhere on your skin. In cases of oral lichen planus, the mucous membranes inside your mouth are the only. Apply over-the-counter hydrocortisone cream to help relieve itching in mild lichen planus. If you have lichen planus in the mouth, avoid drinking alcohol and using tobacco products. In severe outbreaks of oral lichen planus, there is a very small chance of developing oral cancer, so you should see your dentist twice a year to check for oral cancer

The World Health Organization actually defines oral lichen planus as a precancerous condition because it is associated with an increased risk of oral cancer. According to researchers, years after the signs and symptoms have gone away, cancer can still appear. As with vulvar cancer, the symptoms of oral cancer can be mistaken for a new. Oral lichen planus (OLP), oral lichenoid lesions (OLL), oral dysplasia, and oral cancer: retrospective analysis of clinicopathological data from 2002-2011 Oral Maxillofac Surg. 2015 Jun;19(2):149-56. doi: 10.1007/s10006-014-0469-y. Epub 2014 Oct 14. Authors S Casparis 1. Oral lichen planus is a non-infectious, inflammatory condition that affects the membranes inside the mouth, and it's a variation of the skin condition, lichen planus. For some patients, the symptoms are mild, but for others, painful sores and red, inflamed tissues cause discomfort Oral Lichen Planus. Lichen planus is a disease that can affect the skin and any lining mucosa. This could be the oral, esophageal, vaginal mucosa as well as the skin. Often, it is found only in the oral cavity. Overall, lichen planus affects approximately 2 percent of the population. Although the disorder may occur in all age groups, women over.

Mouth Cancer Pictures What Oral Cancer Sores Look Lik

  1. There may be some connection between oral lichen planus and cancer of the mouth. Around 1 to 3 percent of patients who have had lichen planus for a long time may go on to develop mouth cancer. The exact connection between oral lichen planus and cancer is not certain. Only a very few patients with oral lichen planus ever develop cancer
  2. A review of the recent literature regarding malignant transformation of oral lichen planus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88:307-310. 2. Scattarella A, Petruzzi M, Ballini A, et al. Oral lichen planus and dental hygiene: a case report [published online ahead of print September 1, 2010]. Int J Dent Hyg. 2011;9:163-166. 3
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Lichen Planus (Skin, Mouth) Causes, Pictures and Treatment

  1. Lichen planus is also found on the mucous membranes inside the oral cavity affecting the thin soft mucus lining of the mouth. Pictures of Lichen Planus : Images, Pics, Pictures and Photos of Lichen Planus. Treatment: Mild forms of lichen planus do not require any treatment. Topical creams that contain corticosteroid can be applied to control.
  2. Oral lichen planus typically develops more often in adults than in children. In addition, lichen planus is more common among women than among men. Lichen planus is a chronic condition. An outbreak can last for months or up to years. Treatment of oral lichen planus depends on the severity of the condition
  3. Oral lichen planus (LIE-kun PLAY-nus) is a chronic condition that affects the inner lining inside your mouth. It may appear as white lacy patches, red swollen tissues or open sores. These lesions may cause burning, pain or other oral cancer. Alert your oral health provider of any concerns
  4. Oral lichen planus can be chronic and may increase the risk for oral cancer. Lichen planus can also affect skin, scalp, nails, and genitals. 7 / 18 Geographic Tongue
  5. Oral lichen planus These may resemble lace. While it's important to get a proper diagnosis for this condition, oral lichen planus itself usually goes away on its own without treatment
  6. The association between Lichen planus (LP) and cancer has been under debate for decades. We studied the connection via population-based Finnish register data. All women with the diagnosis of LP (n = 13,100) were identified from the Finnish Hospital Discharge Registry from 1969-2012.These patients were linked with subsequent cancer diagnoses from the Finnish Cancer Registry until 2014
  7. Oral lichen planus (OLP) is one of the most common diseases of the oral mucosa. Clinically, it has specific and clearly identifiable features; bilateral symmetric presentation showing a lace-like network of fine white lines (known as Wickham's striae) is an essential element of OLP even if the lesion exhibits a mainly atrophic and erosive pattern

Picture of Lichen Planus (Oral) on MedicineNe

  1. Introduction. Lichenoid reactions represent a family of lesions with different etiologies with a common clinical and histologic appearance. Oral lichenoid reactions include the following disorders: Oral lichen planus (OLP), Lichenoid contact reactions, Lichenoid drug eruptions and Lichenoid reactions of graft-versus-host disease (GVHD) ().OLP is known to be a chronic inflammatory disease.
  2. Oral Lichen Planus and Metal Restorations •8-67% oral lichen planus patients react to mercuric salts on skin testing. •But much higher %(70-79% vs. 2-3%) if lesion definitely (strongly>75%) in contact with amalgam Koch 99,Skoglund 94,Thornhill 0
  3. Oral lichen planus (OLP) is a chronic mucosal condition commonly encountered in clinical dental practice. Lichen planus is believed to represent an abnormal immune response in which epithelial cells are recognized as foreign, secondary to changes in the antigenicity of the cell surface. It has various oral manifestations, the reticular for
  4. I have a history of anal cancer caused by human papilloma virus, which is the primary cause of cervical cancer and positive Pap smears. My main concern right now is getting some form of oral cancer. Some research shows increased incidence of oral cancer in olp patients. It's a puzzle I'm trying to solve

Oral lichen planus - Symptoms and causes - Mayo Clini

The signs and symptoms of Lichen Planus of Penis may include: The lesions may be present on the glans penis or shaft of the penis. Single or multiple lesions may be present on the penis; a ring-like pattern of presentation may be observed (annular lesions) The lesions may ulcerate and cause pain. The size of the lesion may vary from 1 mm to 10 mm Mouth. When this problem involves the mouth which is known as oral lichen planus, the symptoms can consist of the following: Areas of white lacy lines or dots which are white appear most frequently on the inside of the cheeks. The lips, tongue as well as the gums also can be involved. Ulcers or sores can also develop in the mouth Feb 16, 2019 - Explore Doris James's board Lichen planus, followed by 769 people on Pinterest. See more ideas about lichen planus, lichen, lichen sclerosus When lichen planus is very severe, especially if the underside of the tongue is involved, there is a slightly increased risk of developing oral cancer. If this is present, avoid the use of alcohol and tobacco products, which also increase the risk It is unknown whether, in those cases, the lichen planus itself transforms into cancer, or if some early instances of oral cancer are instead initially mistaken for lichen planus. This is possible because some oral pre-cancerous lesions have been shown to mimic lichen planus both clinically and microscopically

Lichen Planus and Oral Cancer - Oral, Head, and Neck

Oral lichen planus is a chronic inflammatory disease. The lesions of cutaneous lichen planus typically resolve within1-2 years, whereas the lesions of oral lichen planus are long lasting and persist for 20 years Resolution of the white striations, plaques, or papules is rare. Current immunosuppressiv etherapies usually control oral mucosal. He mentioned Oral Lichen Planus which was the first time I have heard of it. Surgeon and he looked at my mouth and said it didn't look like cancer then proceded to pull out a book and look at the pictures with me and said no doesn't look like that. I am worried about Oral Cancer at this point because it's gone on for so long A 2016 study published in Medicina Oral, Patologica Oral Y Ciruga Bucal has found that zinc deficiency is common in oral mucosal diseases, including oral lichen planus . A 2014 study published in the Journal of Dentistry - Shiraz University of Medical Sciences has also found lower zinc serum levels in the group with oral lichen planus than in. Oral Lichen Planus. Lichen planus is an inflammatory disease that can affect different parts of your body and appear as reddish-purple rashes or bumps. When it forms inside your mouth, it can result in oral lesions that look gray and lacy, according to the Mayo Clinic. These patches that develop inside your mouth aren't itchy or painful, though. (oral lichen planus). Oral lichen planus may occur on its own or in combination with lichen planus of the skin, nails or genit als. It is thought to affect 1 to 2% per cent of the population, and typically affects womenafter the age of 40 years . Oral lichen planus can occur in men, but children are rarely affected. What causes oral lichen planus

Oral Surgeons: Oral Cancer Picture

While lichen planus very rarely leads to oral cancer, irritation of lichen planus by tobacco and alcohol, poorly fitting dentures, and poor oral hygiene can turn lichen planus into the erosive type. Erosive lichen planus is a chronic pain-ful condition affecting mucosal surfaces, mainly the mouth ( oral lichen planus ) and the genitals (vulval. The risk of oral cancer in patients with oral lichen planus may be reduced by means of the following: Elimination of smoking and alcohol consumption Effective treatment of atrophic, erosive, and. Usually recognized on the skin or oral mucosa, lichen planus can affect the lower genital tract (vulva and vagina). Approximately 1% of the population has oral lichen planus, and of women with. If you have lichen planus in your mouth, you may have a higher risk of getting cancer in your mouth (oral cancer). Here are some things you can do to reduce that risk: Stop smoking, chewing tobacco, and drinking alcohol. Get a screening for oral cancer every 6 to 12 months from your dentist or dermatologist. Brush twice a day. Floss daily

Oral lichen planus DermNet N

The Relationship Between Lichen Planus and Thyroid Autoimmunity. People with an autoimmune thyroid condition such as Graves' Disease and Hashimoto's Thyroiditis are more likely to develop other autoimmune conditions. One of these conditions is known as lichen planus. This is an autoimmune condition that affects the skin, oral mucosa. Lichen planus is an uncommon, chronic, pruritic, inflammatory autoimmune disease of the skin and/or mucous membranes. It has an unknown etiology but has been found to be increasingly associated with the Hepatitis C virus infection Lichen planus of the skin affects men and women equally. However, oral lichen planus is more common in women. The mouth is affected in around 50% of all cases of lichen planus (oral lichen planus). Treating lichen planus. There's no single treatment that can cure lichen planus completely Lichen planus is an autoimmune disease, which means the body is being attacked by its own immune system. The condition usually presents as an itchy rash on various parts of the body. The exact reasons for it are little known and more research is being done, although it is a fairly rare condition so funding is limited

Lichen planus on your skin usually gets better on its own in about 9 to 18 months. Creams and ointments from a GP can help control the rash and ease itching. If creams and ointments do not work or you have severe lichen planus, steroid tablets or treatment with a special kind of light (light therapy) can help Oral lichen planus cancer (squamous cell carcinoma) Oral lichen planus symptoms. A white, reticulated, lace-like lesion (Wickham striae) on the buccal mucosa, often bilaterally, is characteristic. Erosions may occur. White plaques may form on the tongue and lips. The patient may complain of stinging or burning, especially when eating References. Answer. Oral lichen planus (OLP) is a mucosal subtype of lichen planus. The lesions of cutaneous lichen planus typically resolve within 1-2 years, whereas the reticular forms of oral. Vulvovaginal lichen planus (LP) Lichen planus (LP) is an inflammatory autoimmune condition affecting mucous membranes and the skin. The condition affects around one per cent of all women, with it being more common in the mouth (gingival lichen planus). A quarter of women with gingival lichen planus will see vulvovaginal symptoms, including.

Hypertrophic Lichen Planus are characterized by thick skin lesions that occur on the arms and legs, particularly around the hands and feet. In general, individuals in the 30-60 year age group are affected the most. The main symptom of these lesions is itching Lichen planus complications include oral cancer, vulvar cancer, squamous cell carcinoma and penile cancer. Women diagnosed with oral lichen planus must schedule a vaginal examination as 50 percent of women also have the rash near their genitals as well, increasing the risk for vulvar cancer. Stress is not believed to cause lichen planus To the Editor: Lichen planus (LP) is an inflammatory mucocutaneous disorder that primarily affects adults aged 30 to 60 years. 1 It can present across various regions such as the skin, scalp, oral cavity, genitalia, nails, and hair. It classically presents with pruritic, purple, polygonal papules or plaques

What is Oral Cancer (Mouth Cancer) ? | North Delta Dental

Erosive lichen planus DermNet N

There are a many skin eruptions that to resemble lichen planus (lichenoid) and a biopsy can confirm the suspicious lesions. Persistent lesions in the mouth and vagina may resemble leukoplakia, which are precancerous white plaques. In a few patients, ulcerative lichen planus may precede the development of oral cancer tongue, lips and other parts of your mouth. Oral lichen planus sometimes involves your throat or esophagus. While oral lichen planus usually begins during midlife, it can occur at any age. An initial episode of oral lichen planus may last for weeks or months. Oral lichen planus is usually a chronic condition and can last for many years Can Lichen Planus Turn Into Cancer can lichen planus turn into cancer is important information accompanied by photo and HD pictures sourced from all websites in the world. Download this image for free in High-Definition resolution the choice download button below Mucosal lichen planus must be differentiated from leukoplakia. Erosive oral lesions require biopsy and often direct immunofluorescence for diagnosis because lichen planus may simulate other erosive diseases. There is a low risk (1%) of SCC arising within lichen planus + + Oral lichen planus is a relatively common mucocutaneous disease with an estimated prevalence of 0.22 to 5% worldwide. 16 Oral lichen planus is more prevalent in females and most often presents in.

Oral lichen planus (LP) is a chronic inflammatory oral mucosal disease of unknown cause. The clinical management of oral LP poses considerable difficulties to the dermatologist and the oral physician. 1 The authors met in France between March 9 and 15, 2003, to produce a consensus document based on the most recent literature published in peer-reviewed international journals Lastly, there is controversy over whether oral lichen planus is a potential risk factor for oral squamous cell carcinoma (SCC). It has been debated that since oral lichen planus has been shown to have had a loss of heterozygosity and microsatellite instability and possible risk of malignant transformation From Wikipedia: * Esophageal lichen planus, affecting the esophageal mucosa. This can present with difficulty or pain when swallowing due to oesophageal inflammation, or as the development of an esophageal stricture. It has also been hypothesized. Oral lichen planus and oral lichenoid lesions: diagnostic and therapeutic considerations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 103 (suppl.):S25:e1-12. Google Schola My Oral Lichen Planus Diet. In my post, 5 Steps to Living Well, I wrote a little about my diet, as well as some of the supplements I take that have helped me keep my Oral Lichen Planus in check and avoid the need for medication. I've eliminated citrus fruits, spices, vinegar, tomatoes and tomato sauces

I have had Lichen Planus for over 2 years on my gums with extreme bleeding. A few months ago I developed a sore on the side of my tongue. Hurt to eat talk..ect. My sister who is an RN suggested I take Valtrex. After taking 2 tablets a day for 4 days all Lichen Planus vanished. This leads me to believe it is viral Meningococcal purpura close up Meningococcal purpura common red spots and rash 6 / 17 Lichen planus A rare rash that shows up as lacy, white patches or red shiny bumps on the..... lesions: - lacy white reticular lesions on the buccal mucosa most common pattern Kép forrása: Wikipedia.org Ritka, visszatérő, viszkető kiütés, vagy egy gyulladásos kiütéses terület... planus and helps to. Also, you may realize after reading the above, that many of the symptoms and possible causes of Oral Lichen Planus are the same as oral cancer. This brings me to one last point: In a small number of cases (1-3 percent), Oral Lichen Planus has been a precursor to oral cancer Jan 24, 2018 - Explore Level cut Designs's board Lichen Planus, followed by 5023 people on Pinterest. See more ideas about lichen planus, lichen, lichen sclerosus Lichen planus (pronounced LY-KEN PLAN-US) is a fairly common skin disease which affects 1-2% of the population. It is somewhat unique among rashes because it can affect skin, mucous membranes, hair, and nails. In this article, we will focus mainly on lichen planus of the skin and mouth. Lichen planus of the skin affects all races and men and.

IJMS | Free Full-Text | Human β-Defensin 2 Expression in17 Mouth & Tongue Problems: Pictures of Sores, Blisters

The disease known as oral lichen planus was originally described by Sir William James Erasmus Wilson in 1869 (for pathologic pictures of the illness, see Howell 1964).OLP is an inflammatory disorder of the skin and mucous membranes that, as is the case for other types of dermatitis affecting different occupational industrial groups (mainly in Germany, the UK, and, to a lesser extent, the. 5. Symptoms of Oral Lichen Planus Prime Health Channel. When a serious case of lichen planus strikes the mouth, a person will know right away. This is a chronic inflammation affecting the mucous membrane. When eating or drinking there will be a burning sensation, or at the very least, some pain, since it is a sensitive area This disease Oral lichen planus can appear on lips, tongue and oral mucosa . In addition oral lichen planus cancer is in the form of squamous cell carcinoma . this type of the disease usually has no symptoms . But oral erosive LP is painful . Physicians reported that morphea of the trunk is sometimes associated by oral LP . This type of. Diet & Lichen Planus. A common plant may successfully treat oral lichen planus, a painful condition affecting the lining of the mouth. There's another inflammatory autoimmune condition called oral lichen planus, in which your immune system starts attacking the lining of your mouth. This is what it looks like

Erosive oral lichen planus Mayo Clinic Connec

6 Lichen Planus Pictures What is Lichen Planus? An inflammatory skin condition typically affecting the skin and the oral mucosa is referred to as lichen planus, from the words lichen that grows on rocks and tree bark and from the Latin word planus meaning flat Oral lichen planus: associated with squamous cell carcinoma (oral lichen planus patients 4.8 times more likely to develop oral squamous cell carcinoma than patients without oral lichen planus) (Int J Dermatol 2019;58:296) Case reports Biomarkers for Oral Cancer. a study on Lichen Planus Oral Leukoplakia Mouth Neoplasms. Summary. Eligibility. for people ages 18-110 ( full criteria) Location. at San Francisco, California and other locations. Dates. study started August 1996 Vulvar lichen planus is best treated with high-potency creams. Lichen planus is a relatively uncommon inflammatory condition that affects the skin, nails, mouth, and vagina, usually around midlife. One of its most troubling manifestations is erosive lichen planus of the vulva (ELPV), an often painful condition that usually starts with itchy.

Oral Lichen Planus - Causes, Symptoms, Treatment, Risk

Oral Cancer Images - The Oral Cancer FoundationOral Cavity Cancer: Professional Version - Page 5 of 12oprm-lichen-planus-white | College of Dentistry and DentalWhat is Oral Medicine - Hobart Orofacial Pain and SpecialFrequently Asked Questions (FAQ) about Various Diseases

Lichen planus of the mouth most commonly affects the inside of the cheeks, gums and tongue. Oral lichen planus is more difficult to treat and typically lasts longer than skin lichen planus. Fortunately, many cases of lichen planus of the mouth cause minimal problems. About one in five people who have oral lichen planus also have skin lichen planus Lichen planus is a self-limited disease that usually resolves within 12-18 months. It recurs often, in about 20% of patients, and it may linger for years, particularly oral lichen planus. Lichen planus usually leaves hypertrophic scars and dark brown postinflammatory hyperpigmentation. Mild cases can be treated with fluorinated topical steroids 1. Introduction. Lichen planus is a chronic immune-mediated inflammatory disease that affects the skin and mucous membranes. Oral lichen planus (OLP) is the mucosal counterpart of cutaneous lichen planus and it was first described in 1866 as white papular eruptions in the oral cavity [ 1 The risk of oral cancer increases with Oral lichen planus. If the patient does not treat the condition, lichen planus of the ear canal may lead to hearing loss. Natural Remedies for Lichen Planus: Available Treatment Selections. You will be amazed to be acquainted with that the majority of the lichen planus cases are simply treated within weeks