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Lichen Planus Treatment London

Lichen Planus Treatment London

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Lichen Planus Treatment

Lichen Planus Treatment at the London Dermatology Centre

Lichen planus is a non-infectious inflammatory condition that can affect the skin, mouth, scalp, nails, and genitals. While not contagious or cancerous, it can cause discomfort, visible changes, and persistent irritation. If you’re dealing with lichen planus, expert diagnosis and tailored treatment can make all the difference.

At the London Dermatology Centre, our experienced dermatologists offer comprehensive care for lichen planus using the latest medical therapies and diagnostic tools. Whether you’re experiencing skin lesions, oral discomfort, or scalp irritation, we’re here to help restore your comfort and confidence.

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What Is Lichen Planus?

Lichen planus is an autoimmune condition where the body’s immune system mistakenly attacks healthy skin or mucous membranes. The exact cause is unknown, but it may be triggered by certain medications, viral infections, or stress. It is most commonly seen in adults but can affect people of all ages.

lichen-planus

Common symptoms include:

  • Purple or reddish flat-topped bumps on the skin
  • Itchy rashes, often on the wrists, ankles, or lower back
  • White, lace-like patches inside the mouth (oral lichen planus)
  • Painful sores on the scalp or genitals
  • Brittle or ridged nails

Although lichen planus can resolve on its own in some cases, many people benefit from targeted treatment to reduce inflammation, alleviate symptoms, and prevent long-term damage—especially when mucous membranes or the scalp are involved.

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Why Treatment Matters

Left untreated, lichen planus can cause prolonged discomfort and, in some cases, complications such as scarring, hair loss (lichen planopilaris), or nail loss. Oral lichen planus, in particular, can persist for years and may need careful monitoring due to a small potential for precancerous changes.

Early diagnosis and the right treatment can significantly improve quality of life, reduce symptoms, and help avoid complications.

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Book Your Consultation

Lichen Planus Treatment Options at Our Clinic

At the London Dermatology Centre, we tailor each treatment plan based on the type and severity of your lichen planus. Treatment options may include:

Topical Therapies

Corticosteroid creams or ointments are often the first line of treatment to reduce inflammation and ease itching.

Calcineurin inhibitors (such as tacrolimus) may be used for delicate areas, such as the mouth or genitals, where steroid use must be limited.

Systemic Medications

For more widespread or resistant cases, we may prescribe:

  • Oral corticosteroids for short-term control
  • Immunosuppressive agents such as methotrexate or cyclosporine
  • Antihistamines to relieve itching and improve comfort

Light Therapy (Phototherapy)

Narrowband UVB therapy is sometimes used to treat generalised skin lesions that don’t respond to topical treatments. This non-invasive option can help calm inflammation and improve appearance.

Specialist Monitoring

Patients with oral or genital lichen planus may require regular reviews to monitor symptoms, adjust treatments, and screen for changes. We work closely with other specialists if additional input is needed.

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Why Choose the London Dermatology Centre?

Lichen planus is a condition that varies significantly from person to person. At our clinic, we focus on precision diagnosis and long-term management. Our team of GMC-registered consultant dermatologists are highly experienced in treating lichen planus and related autoimmune skin conditions.

  • Consultant-led care in central London
  • On-site phototherapy and advanced treatment options
  • Access to patch testing and specialist investigations where needed
  • A caring, supportive environment with a focus on results

We believe in taking the time to understand your symptoms and create a personalised treatment approach that fits your lifestyle and goals.

Frequently Asked Questions

What causes lichen planus?

The exact cause of lichen planus isn’t fully understood, but it's believed to be an autoimmune condition where the immune system mistakenly attacks healthy skin or mucous membranes. In some cases, it may be linked to medications, hepatitis C infection, or allergens, though most cases are considered idiopathic (with no identifiable cause).

Is lichen planus contagious?

No, lichen planus is not contagious. It cannot be passed from person to person through contact, saliva, or sexual activity. It is a reaction of your own immune system and is not related to bacterial or viral transmission in most cases.

How is lichen planus diagnosed?

Diagnosis is typically made by a dermatologist through clinical examination of the skin or mucosal lesions. In some cases, a small skin or tissue biopsy may be taken to confirm the diagnosis, especially if the presentation is unusual or persistent.

Can lichen planus affect areas other than the skin?

Yes, lichen planus can affect the mouth, genitals, scalp (known as lichen planopilaris), and nails. Oral and genital forms can be more persistent and may require long-term monitoring, while scalp involvement may lead to scarring hair loss if not treated promptly.

Is lichen planus linked to cancer?

While the vast majority of cases are benign, long-standing oral lichen planus may carry a slightly increased risk of developing into oral cancer. This is why regular monitoring is recommended for patients with persistent oral lesions, particularly if ulcers or white patches change in appearance.

What treatment options are available?

Treatment depends on the severity and site of involvement. Options include topical corticosteroids, calcineurin inhibitors, oral medications (such as steroids or immunosuppressants), and phototherapy for widespread skin disease. Your dermatologist will tailor the treatment to your specific needs and symptoms.

How long does it take for lichen planus to go away?

Skin lesions often improve within 6 to 18 months, though this varies from person to person. Oral or genital forms may persist for longer periods and require ongoing management. Even when symptoms clear, there is a possibility of recurrence in the future.

Can lifestyle changes help?

Yes, managing stress, avoiding known triggers (like certain medications or dental fillings in some oral cases), and following a gentle skincare routine can help reduce flare-ups. Your dermatologist may also suggest avoiding spicy foods or irritants if you have oral lichen planus.

Will treatment cure the condition completely?

There is currently no permanent cure for lichen planus, but treatment can effectively control symptoms, speed up resolution, and prevent complications. Many people experience long periods of remission with the right care.

How do I book a consultation?

You can book a consultation by calling us on 020 7467 3720 or by filling out our contact form. Our experienced team is here to support you through diagnosis, treatment, and long-term care.

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Your Consultation

Your journey begins with a thorough consultation. One of our dermatologists will examine your skin or mucosal symptoms, take a full history, and may recommend further tests such as a biopsy, blood work, or patch testing if appropriate.

We’ll then provide you with a detailed diagnosis and a tailored plan to help manage your lichen planus effectively and comfortably.

Our Location

The London Dermatology Centre is located at 69 Wimpole Street, London, W1G 8AS, right in the heart of the prestigious Harley Street medical district. Our central London clinic is within easy walking distance of Oxford Circus, Bond Street, and Regent’s Park Underground stations, making it convenient to reach from across the city.

We provide a calm, discreet, and modern clinical environment where your privacy and comfort come first. Whether you’re visiting for a one-off consultation or ongoing care, you can expect a professional and welcoming experience throughout.

If you're arriving by car, metered parking and public car parks are available nearby. Our reception team is happy to assist if you need help with directions—simply call us on 020 7467 3720.

Opening Hours

Monday - Friday: 9.00 AM - 5.30 PM
Saturday & Sunday: Closed

Our Location

69 Wimpole Street,
London W1G 8AS.

Book an Appointment

If you’re dealing with lichen planus symptoms, don’t wait. The London Dermatology Centre is here to help. Book your consultation today and take the first step toward relief and recovery.

Call us on 020 7467 3720 or use our contact form to schedule your visit.

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