Lichen planus is a rash that often is for age group 32-68. There are various symptoms but it can also include bumps in the mouth as well as in nail area. The rash consistss of bumps that are red or purple and often on the inside of wrists and ankles. They can also be on neck and back. For some people it is related to hepatitis C but there is not a necessary correlation. It isn’t contagious and generally doesn’t signify a systemic disorder. It can be an immune system reaction or allergic reaction. Nails can split or thin when it’s in that area.

Prednisone and benadryl are used depending on the degree of severity and itching. Aldara or protopic are prescribed for some individuals. Some people also benefit from light therapy.If it is your first occurence, it can last for weeks or months and may recur in future. Often lichen planus can be diagnosed by eye due it’s distinctive purple coloring and features but biopsies are taken due to similarities to pre-cancerous marks (for the mucuous membrane areas). Also rashes from certain medications used for high blood pressure and arthritis can cause rashes that may look similar to lichen planus so it’s important to confirm.

To alleviate symptoms, oatmeal baths and compresses with a wash cloth with cold water can be helpful for the inflammation. If there is scalp involvement, it can mean some hair loss. The spots where the rash occurred may darken after rash heals and these will eventually fade and the pigment will return to it’s normal color.