What is the typical disease course of lichen planus?

Updated: Feb 24, 2020
  • Author: Tsu-Yi Chuang, MD, MPH, FAAD; Chief Editor: William D James, MD  more...
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Answer

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. More severe cases, especially those with scalp, nail, and mucous membrane involvement, may necessitate more intensive therapy.


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