"Software Engineer Overcomes Hypertrophic Lichen Planus at Life Force”

Mr AD, Age 32 years Pin (44526) visited our Borivali clinic with complaints of Hypertrophic Lichen Planus. This is a condition characterized by dark, purplish-colored, thickened skin lesions with severe itching.

Mr. AD developed this condition in December of 2018. It started as a few lesions on his legs. Since 2020, it has been progressively increasing due to the stress caused by work overload in his office. It was then he visited a dermatologist, who, after a biopsy, confirmed this condition as hypertrophic lichen planus. The conventional medicines were taken, which only helped him temporarily. The patient was looking for a safe and long-term solution for his condition. That is when he decided to see us for treatment.

Along with Lichen Planus, he was also suffering from recurrent kidney stones and allergic rhinitis. However, the problem of lichen planus was what was worrying him the most.

A detailed case history was taken at the clinic by our associate doctor. He revealed that he was a vegetarian by choice and preferred to eat spicy food. He had a dislike for sweets. He could not tolerate a hot environment and mostly perspired on the forehead. He was tall and lean and never gained much weight. His parents mentioned that he had a habit of talking in sleep.

Also, his parents said that they shared a good relationship with the patient and were supportive of him always in childhood as well as youth. The patient was a soft-spoken and polite person. He loved listening to classical music and had a fear of water.

At the time of case history patient was working as a software engineer at a multinational company in Pune. The work environment was good except for the stress caused by the increased workload.

In the past, he had a history of jaundice in childhood and was operated on for renal stones twice in 2020. Both his parents had diabetes mellitus.

His case was studied in depth by Dr. Shah, who prescribed him accordingly.

Follow-ups:

In the initial four months of starting the treatment, there were not many changes in his Lichen Planus symptoms.

From the fifth month onwards, he noted that the lesions had started healing. The active lesions were present only on his legs now. The intensity of itching had reduced by fifty percent. Also, his complaint of allergic rhinitis was better.

In the next follow-up update on October 20, 2021, there was an increase in the Lichen Planus on the legs. Also, there were tiny new lesions on his elbows. Dr. Shah revised his homeopathic medicines.

The case became stable thereafter.

On December 21, there was a flare-up, and the patient developed new lesions on the legs. On inquiring, the patient said that he shifted his residence from Pune to Mumbai, and that was quite stressful for him. A few changes in the prescription were made, and he was advised to continue the treatment. The lesions settled after that.

The patient had one more mild flare of Lichen Planus in April 2022.

Since 2023 onwards, there have been no new lesions, despite the highs and lows in his personal and professional life. He is continuing the treatment for the post-inflammatory hyperpigmentation marks.

Subsequently, in 2024, the post-inflammatory hyperpigmentation marks on the body had faded greatly.

Conclusion:

This case study highlights the importance of addressing both the physical and emotional aspects of chronic autoimmune skin conditions like Lichen planus. Managing stress and considering the patient''s constitution can significantly impact treatment outcomes.