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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Oral Lichen Planus

I have oral lichen planus. Started having problem more than 4 yrs. ago. Have taken Dexamethasone rinse (causes weight gain); Hydroxychloroquine, Gabapentin. The outbreak seems to run its course without much response to medication. Currrent outbreak has been going on since before July 4th. Taking Hydroxychloroquine without significant improvement. Is there a cure?
Fri, 7 Nov 2014
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Infectious Diseases Specialist,  's  Response
Hello,
Welcome to HCM,
If you have no pain or discomfort and if only white lesions are present, you may not need any treatment.

I would suggest you to apply the steroid cream on the lesion twice daily for at least 15-20 days, you can appreciate the improvement.

Topical medication is the best choice since it doesnt cause much adverse effects. Other treatment modalities includes intralesional injection of steroids, mouth rinses containing steroids or systemic steroids.

I advise to take topical only because it wont disturb the systemic status of your body.
Thank you.
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Suggest Treatment For Oral Lichen Planus

Hello, Welcome to HCM, If you have no pain or discomfort and if only white lesions are present, you may not need any treatment. I would suggest you to apply the steroid cream on the lesion twice daily for at least 15-20 days, you can appreciate the improvement. Topical medication is the best choice since it doesnt cause much adverse effects. Other treatment modalities includes intralesional injection of steroids, mouth rinses containing steroids or systemic steroids. I advise to take topical only because it wont disturb the systemic status of your body. Thank you.