Case Study of Hypertrophic Lichen Planus Mr. D. L. C aged 65 years (Patient Identification Number 15161) visited Life force on 6th December 2010 for the treatment of Lichen Planus. He was suffering from Lichen Planus on both legs since the last 20 years. The Lichen Planus would reduce with steroidal treatment but would invariably relapse, after stopping steroids.

He presented with moderately severe Lichen Planus on both legs with severe itching, followed by burning sensation.

He had several large spots of Lichen Planus, which is termed as “Hypertrophic Lichen Planus”. These large spots had remained active since last several years. His itching would aggravate at night and in the winter. He had average appetite with marked cravings for chicken. He would perspire profusely on the whole body. His bowel movement, urination was normal but his sleep was disturbed due to his itching problem.

He was sensitive and introvert by nature. He was under stress; he was under grief with the untimely death of his brother and mother. He was a perfectionist and fastidious by nature.

Dr. Rajesh Shah studied his case details and prescribed research based homeopathic medicines along with constitutional medicines.

After 6 weeks of medications his Lichen Planus reduced by 25%. His itching, burning sensation also reduced. Gradually the lesions flattened and healing was noticed, but some new spots were also seen because of withdrawal of steroids.

After 3 months of the medication his Lichen Planus reduced by 60%. Itching also reduced and there were no new spots. Hence, with the homeopathic medicines, spread of the disease was arrested.

After 6 months of medication there was significant improvement in his Lichen Planus. The “Hypertrophic Lichen Planus” spots had flattened by 90%. Now, he did not experience any itching or discomfort. His skin has cleared up very substantially. He is still continuing the treatment.

In Hypertrophic Lichen Planus, the skin lesions are very thick, dry, elevated and rough in appearance. They are generally resistant to oral and local steroids. It is mostly seen that patients may show recovery in the milder form of Lichen Planus, but these Hypertrophic form remains resistant. Many times, they are treated with Dapsone and immune suppressants for prolonged periods.

Dr Shah has been able to give very satisfactory results in Hypertrophic Lichen Planus. The lesions flatten, become inactive and blend with the skin.