Lichen Planus, A Simple Guide To The Condition, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
Lichen Planus is a chronic inflammatory disease of the skin
It consists of red small papules which can cause itch and scratching
It is often associated with lesions of the mucosal membranes
Lichen Planus occurs more in women than in men
The cause of lichen planus may be related to an allergic or immune reaction
It is also associated with chronic hepatitis C virus infection
The typical rash of Pruritic, Planar, Purple, Polygonal, Papular
Microscopic appearance is hyperparakeratosis of the granular cell layer
The goal of treatment is to reduce symptoms and speed healing.
Dressings placed over skin medicines to protect from scratching
Topical Medicines include topical corticosteroids and Vitamin A cream.
More severe cases need oral corticosteroids, retinoids and Cyclosporine.
-An original poem by Kenneth Kee
Interesting Tips about the Lichen Planus
A Healthy Lifestyle
1. Take a well Balanced Diet
2. Treatment depends on the severity and type of Lichen Planus.
The goal of treatment is to reduce symptoms and speed healing.
a. Mild cases may not require any treatment
b. Severe Lichen Planus has lesions that affect most of the body and hospitalization is required.
c. Most cases of Lichen Planus lie in between.
At the present moment there is no known cure for lichen planus.
Medicines have been able to reduce the severity of inflammation and improve the quality of life.
a. Topical Medicines include:
i. Topical corticosteroids (such as clobetasol).
ii. Vitamin A as a cream (topical retinoic acid)
iii. Tar lotions, ointments, creams, and shampoo
iv. Other medicines that are applied to the skin such as tacrolimus and pimecroliumus
v. Dressings placed over skin medicines to protect from scratching
d. Systemic therapy (oral drugs that affect the whole body system):
Immunosuppressant medications
i. Cyclosporine,
ii. Methotrexate
iii. Oral retinoid (acitretin)
iv. Oral corticosteroids (such as prednisone) to reduce swelling and lower immune responses
Corticosteroids shots into a sore
v. Hydroxychloroquine
vi. Tacrolimus
vii. Dapsone
e. Phototherapy (with ultraviolet B, psoralen with ultraviolet A, radiation)
f. Combined therapy is frequently used.
g. New therapies such as the biologic agents has improved the condition
h. Antihistamines for itch
3. Keep bones and body strong
Bone marrow produces our blood
Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.
Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.
Eat food rich in Vitamins B and C such as green vegetables and fruits
Zinc and other minerals are important to the body
4. Get enough rest and Sleep
Avoid stress and tension
5. Exercise and stay active.
It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 21⁄2 hours a week.
One way to do this is to be active 30 minutes a day at least 5 days a week.
Begin slowly especially if a person has not been active.
6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.
Alcohol use also increases the chance of falling and breaking a bone.
Alcohol can affect the neurons and brain cells.
7. Stop or do not begin smoking.
It also interferes with blood supply and healing.
Chapter 1
Lichen Planus
Lichen Planus is a chronic inflammatory disease of the skin which typically consists of red small papules that joined together to from rough scaly patches.
Lichen planus is a condition that forms an itchy rash on the skin or in the mouth
TABLE OF CONTENT
Introduction
Chapter 1 Lichen Planus
Chapter 2 More Facts about Lichen Planus
Chapter 3 Treatment of Lichen Planus
Chapter 4 P
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Lichen Planus, A Simple Guide To The Condition, Treatment And Related Conditions - Kenneth Kee
Lichen Planus
A
Simple
Guide
To
The Condition,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2014 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes the Lichen Planus, Treatment and Associated Diseases or in vernacular terms
(What You Need to Treat Lichen Planus)
This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
Ode To Lichen Planus
Lichen Planus is a chronic inflammatory disease of the skin
It consists of red small papules which can cause itch and scratching
It is often associated with lesions of the mucosal membranes
Lichen Planus occurs more in women than in men
The cause of lichen planus may be related to an allergic or immune reaction
It is also associated with chronic hepatitis C virus infection
The typical rash of Pruritic, Planar, Purple, Polygonal, Papular
Microscopic appearance is hyperparakeratosis of the granular cell layer
The goal of treatment is to reduce symptoms and speed healing.
Dressings placed over skin medicines to protect from scratching
Topical Medicines include topical corticosteroids and Vitamin A cream.
More severe cases need oral corticosteroids, retinoids and Cyclosporine.
-An original poem by Kenneth Kee
Interesting Tips about the Lichen Planus
A Healthy Lifestyle
1. Take a well Balanced Diet
2. Treatment depends on the severity and type of Lichen Planus.
The goal of treatment is to reduce symptoms and speed healing.
a. Mild cases may not require any treatment
b. Severe Lichen Planus has lesions that affect most of the body and hospitalization is required.
c. Most cases of Lichen Planus lie in between.
At the present moment there is no known cure for lichen planus.
Medicines have been able to reduce the severity of inflammation and improve the quality of life.
a. Topical Medicines include:
i. Topical corticosteroids (such as clobetasol).
ii. Vitamin A as a cream (topical retinoic acid)
iii. Tar lotions, ointments, creams, and shampoo
iv. Other medicines that are applied to the skin such as tacrolimus and pimecroliumus
v. Dressings placed over skin medicines to protect from scratching
d. Systemic therapy (oral drugs that affect the whole body system):
Immunosuppressant medications
i. Cyclosporine,
ii. Methotrexate
iii. Oral retinoid (acitretin)
iv. Oral corticosteroids (such as prednisone) to reduce swelling and lower immune responses
Corticosteroids shots into a sore
v. Hydroxychloroquine
vi. Tacrolimus
vii. Dapsone
e. Phototherapy (with ultraviolet B, psoralen with ultraviolet A, radiation)
f. Combined therapy is frequently used.
g. New therapies such as the biologic agents has improved the condition
h. Antihistamines for itch
3. Keep bones and body strong
Bone marrow produces our blood
Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.
Eat foods rich in Vitamin D, like eggs, fatty fish,