A 25-year-old female from Kerala, Mrs.A.B (Patient identification no- 15375) registered as an online patient for the treatment of Lichen Planus. She gave her case details by filling elaborate answers to the questionnaire sent to her.
When she first noticed the spots there was severe itching, so she thought it might be summer related prickly heat. Then within 2 months time it spread through out her body; majority being on abdomen, buttocks, legs, thighs, ankles, knees and hands. She consulted a dermatologist who confirmed it to be lichen planus.
In the history she had described that she had a stressful job as she was working in media. She had to apply lots of cosmetics; she indicated that lichen planus started after she used some chemical based hair removing cream. Excessive use of chemical based creams may be the cause of lichen planus in her case.
In medical history it was found that her lichen planus was cortisone masked as she was on topical as well as oral cortisone.
Emotionally she was much tensed due to work pressures and showed anticipatory anxiety. She described herself as reserved and a sad type of personality.
She had marked desire for spicy food. Thermally she was hot with profuse perspiration all over the body.
After studying the case in detail, Dr. Rajesh Shah advised her to reduce the frequency of steroidal ointment and slowly stop it (chances of resurfacing were explained) and prescribed him our research based medicine along with her constitutional medicine.
At the 2 months follow up Mrs. A.B showed remarkable improvement. She described that her lichen planus has stopped spreading and no new lesions were seen.
At the 6-month follow-up, Mrs. A.B reported that her lichen planus is better by 70%. Her most prominent symptoms: severe itching, dryness, and burning pains were better by 90%.
She was advised to continue medicines for residual post inflammatory hyper pigmented spots.