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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need Suggestions To Cure Lichen Planus In Mouth

Good afternoon.My wife age 64 has been diagnosed with lichen plan us which has also spread to her mouth.Doctor has prescribed prednisilone for five weeks 30mg daily first week with taper to 5mg last week. some local cream has also been prescribed. I have one fear. She is bp patient and takes amlodipine 2.5 mg wit other diet restrictions. Her bp is managed around 150/90. Since lp is spreading in her mouth and also on other parts of her body, will it be safe for her to take prednisilone for over one month. I am worried. Please help. Rosin India N
Thu, 20 Feb 2014
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Infectious Diseases Specialist,  's  Response
Hello,
Welcome to HCM,
Lichen Planus is a autoimmune disease, most of the time it dosenot require any treatment it will regress by itself.
Short course of prednisilone can help when lichen planus lasts a long time with painful sores.
As she is on antihypertensive drugs the blood pressure should be monitored closely for any variation of the values. Short course of oral prednisilone with this symptoms may help to regress the lesions in the oral mucosa.

I would have suggested in addition to the above
1.Oral antihistamines
2.Topical corticosteroid
3. Maintain good oral hygiene.
Thank you.
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Need Suggestions To Cure Lichen Planus In Mouth

Hello, Welcome to HCM, Lichen Planus is a autoimmune disease, most of the time it dosenot require any treatment it will regress by itself. Short course of prednisilone can help when lichen planus lasts a long time with painful sores. As she is on antihypertensive drugs the blood pressure should be monitored closely for any variation of the values. Short course of oral prednisilone with this symptoms may help to regress the lesions in the oral mucosa. I would have suggested in addition to the above 1.Oral antihistamines 2.Topical corticosteroid 3. Maintain good oral hygiene. Thank you.