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In What Way Can Symptoms Of Lichen Planus Pigmentosus Be Managed?

Posted on Wed, 5 Jan 2022

Question: Hello Doctor,

I am 31 years old...
My skin is sensitive to the sunlight...too much of exposure to sun would cause rashes with itching on the skin which is exposed to sunlight....
In the month of March I have got severe rashes and itching on my skin due to long time exposure to sunlight( face, neck, hands)...
I have consulted skin specialist near to me and he suggested me some medicines to use which included sunscreen lotion also...I have attached the prescription with the number 1 for ur reference...also doctor asked me to visit again after 5 days...
I am recovered very quickly with no complaints in 3-4 days and went to meet the doctor again after 5 days as suggested...This time doctor gave me another medicines to use ...I have attached this prescription with number 2 for ur reference...
Don't know what went wrong, after two days of using the new medicines in prescription number 2 , I have got black patches on the skin in the same place where I have suffered rashes 5 days back...I am unable to get rid of them now...
dark black patches on the forehead are bothering me more as I am unable to go out freely...
Picture of the dark patches on the neck has been attached for ur reference...
kindly suggest me a solution for this as I am unable to mingle with others...

Eagerly waiting for your reply..

Thanks

Answered by Dr. Asmeet Kaur Sawhney (1 hour later)

Brief Answer:
Lichen planus pigmentosus and its management

Detailed Answer:

Hi,

I have gone through your complaints and reviewed the attached photographs.
It seems to be lichen planus pigmentosus.
If I was your treating doctor I would recommend you to apply topical steroid like mometasone cream on the affected areas once daily in the morning and tacrolimus 0.1 percent ointment on the affected areas at bedtime.
Also use a broad spectrum sunscreen on the entire face and neck area during the daytime.
Also you can take tablet isotretinoin 10 mg once daily at bedtime.
These all are prescription drugs and should be taken under the supervision of the doctor.
Regards
Dr Asmeet

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Asmeet Kaur Sawhney (6 hours later)

Thanks a lot doctor...I will follow your prescription...does they have any side effects? I have bp and thyroid. so plz confirm whether I can use them.

Also plz let me know for how many days I should use these medicines especially those tablets.. Thanks

Answered by Dr. Asmeet Kaur Sawhney (2 hours later)

Brief Answer:
Medicines not to be taken under doctor’s supervision

Detailed Answer:
Actually these medicines should be used under the supervision of the doctor.
Capsule isotretinoin requires monitoring of liver function test and lipid profile.
It is contraindicated during pregnancy and 3 months after stopping the medicine.
Even the topical medicines need to be taken under doctor’s advice.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Asmeet Kaur Sawhney (1 hour later)

I have bought the ointments which u have suggested...haven't purchased the tablets still...will apply the ointments as per ur suggestion now

Answered by Dr. Asmeet Kaur Sawhney (11 hours later)

Brief Answer:
Yes you can start with the creams

Detailed Answer:
Yes you can start with the creams.

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Kampana