A 38-year-old male [Patient ID: 50353] presented with complaints of lichen planus involving multiple body sites, including both legs, forearms, abdomen, back, soles of the feet, and oral mucosa. The condition had begun 12 years ago, had remained in remission for almost a decade, but had relapsed about a year ago with gradual spreading from […]
Steady Recovery from Relapsing Lichen Planus Through Individualized Homeopathy Care
This page explores the long-term management of a 38-year-old man with a 12-year history of relapsing lichen planus affecting multiple skin and oral sites. Readers will learn how individualized homeopathic treatment supported steady healing despite prior dependence on steroids and immunosuppressants. The case highlights symptom progression, triggers, follow-up outcomes, and the patient’s sustained improvement in lesions, itching, and overall well-being.
Table of Contents
A 38-year-old male [Patient ID: 50353] presented with complaints of lichen planus involving multiple body sites, including both legs, forearms, abdomen, back, soles of the feet, and oral mucosa. The condition had begun 12 years ago, had remained in remission for almost a decade, but had relapsed about a year ago with gradual spreading from the legs to other areas. The eruptions were moderately itchy and became worse at night, with burning pain following scratching. Oral involvement caused mild burning and discomfort while eating spicy food, and a small white lacy lesion was seen on the right buccal mucosa. Hyperpigmented patches and dry, rough skin were noted on the legs and feet.
There was no history of ulceration or discharge. The disease had been stable for many years but had slowly progressed during the recent relapse, with new lesions occasionally appearing on the abdomen and legs.
Present Medication
He was taking Tab Aprexo (Apremilast) 100 mg OD, Levofloxacin once daily, Momate steroid ointment, Venusia lotion, and Veisee soap. These medications offered temporary relief but did not prevent the recurrence of new eruptions.
Past Treatment
In the past, he had received methotrexate 7.5 mg (immunosuppressant), aceclofenac, bilastine (antihistamine), and moisturizing creams like Moiz MM, as well as prolonged topical steroid applications for about a year. Despite these, the lesions remained active and were gradually spreading.
Physical Generals
He consumed a mixed diet without any strong cravings or aversions. He drank about 3–4 liters of water daily, had average perspiration, was thermally chilly, and maintained satisfactory bowel movements. There was no addiction to alcohol or tobacco. Sleep was refreshing, and overall appetite and thirst were normal.
Personal History
He worked in a pharmacy (Pravi Bio Life), was married, and had two young daughters aged six and three years. He lived in a joint family in Boisar and described his marital life as happy and well supported. His life journey had been generally pleasant, with emotional stability and no major stressors, though he had experienced some professional stress at work. The patient was described as mild, gentle, affectionate, and sensitive, which reflected his overall emotional state and interpersonal relationships.
Family History
Was significant for diabetes mellitus, as both his mother and brother were diabetic. There was no known history of skin disorders, autoimmune diseases, or lichen planus in other family members.
Based on this totality of symptoms, Dr. Shah selected individualized homeopathic treatment suited to his constitution and presenting features. Over the course of follow-ups, the patient showed a steady and sustained improvement.
Follow-Ups
11/03/2023
A few new eruptions appeared on the abdomen, legs, and hands with dryness and itching. Old eruptions remained stable. Oral LP showed no issue. Conventional medicines were reduced.
05/05/2023
New eruptions appeared on the feet, legs, and thighs. Old lesions remained stable. Itching was mainly on the feet, legs, and hands. He had stopped conventional medicines about two months earlier. Trigger: professional stress.
01/07/2023
No new spots appeared. Large patches were improving. Some itching with dryness was present. LP over the left toenail was noted. Constipation with minor bleeding was reported.
29/08/2023
No new spots appeared. Large lesions were improving. Itching was reduced. Nail LP and constipation were better.
29/10/2023
Old spots flared up with increased itching for a week (possible trigger: small quantity of non-veg food). Overall improvement was seen, and constipation was less.
06/01/2024
Itching was absent. Old spots were better. No active lesions were present. Hyperpigmentation and dryness were present.
13/05/2024
No new spots appeared. Old lesions were slightly better. Mild itching was present. He was not on any conventional medicines.
20/09/2024
50–60% overall improvement was observed. A few new spots appeared on the left leg and feet. Old eruptions had improved. Oral LP had completely healed. Mild dryness and occasional itching on the legs were present.
12/01/2025
80% better. No new spots or spread were seen. Oral LP had completely healed. Abdominal, chest, and back lesions had resolved. Leg eruptions had significantly improved. Hyperpigmentation was fading.
04/06/2025
One new eruption appeared on the right foot with itching. Old eruptions were inactive. Oral LP was almost healed. Hyperpigmented spots remained.
29/07/2025
No new eruptions appeared. Old lesions were improving. No itching was present. Hyperpigmentation continued to fade.
