A 33 years old male commando in navy, Mr. V.B (Patient Identification No. 17870) visited Life Force Center on 31st Dec 2011 for treatment of skin and oral Lichen Planus.
He had developed lichen planus 8 months back which began on legs and slowly spread all over the body. He visited skin specialist and started with steroidal treatment both oral and local. Even after 3 months of steroidal treatment, his lesions were spreading and he developed oral lichen planus. This is when he got scared and visited another skin specialist who changed the medication to immunosuppressants.
He started to show some improvement in certain areas but new lesions kept coming. Then he started to look for alternative treatment. Luckily for him, one of his friends was treated by Dr Shah, who referred him to Life Force.
His case was noted in detail by an associate doctor, studied by Dr Shah. Dr Shah advised to taper and stop the steroids after explaining the side effects.
He showed typical koebner's phenomenon. The Koebner phenomenon refers to skin lesions appearing on lines of trauma. Koebner phenomenon is noticed on scratch marks. This video demonstrates Koebner phenomenon in a case of Lichen Planus. To view the video click on the below-mentioned link.
Emotionally he was going through a lot of stress professionally but he was punctual and efficient in his work.
At 2 months follow up Mr. V.B reported that his itching has reduced by 50% although there were few new skin lesions but he was happy to report that his oral lesions are 25% better and his pain and burning in the mouth have reduced by 50%.
At 4 months follow up Mr. V.B reported that his skin lesions had stopped spreading and the old lesions had started flattening. Itching had reduced by 70%. His oral lesions had reduced by 70%.
At 6 months follow up Mr. V.B reported over the phone and was very happy with the improvement. His skin lesions were better by 70% and oral lesions were 90% better. Lesions of lichen planus were flattening but hyperpigmentation marks were left which is a natural coarse of recovery. These details were explained to him and further coarse of medicines were couriered to him. As he was traveling abroad 4 months medicines were prescribed.
At 12 months follow up he reported 2 months late. His skin eruptions were 100% better. All the lesions were flattened and there were no active lesions over the skin. His oral lesions were slightly aggravated as due to traveling he had taken lots of spicy and packed food. He was advised to keep patience and to take medicines on time without missing the doses.
At 1.4 months follow up he reported that there were no new spots for 4 months and the hyperpigmentation is slowly fading off. Oral lesions were 80% better. Occasionally he had burning pains whenever he used to take spicy and hot food. He was advised to continue medicines for another 4 months for complete recovery and to avoid relapses.