Long-Term Management of Steroid-Dependent Oral Lichen Planus with Homeopathy

Mr. R.D. a Teacher, was also studying B.Ed. a resident of Assam, India started online treatment with Life Force Homeopathy (Patient ID: 48527) for oral Lichen Planus. He had a white lacy lesion on the right buccal mucosa for one year. The main concern was slight irritation and rough sensation in the buccal mucosa and the patient experienced burning and difficulty in eating spicy foods.

Past medication:

1). Keracort (steroids) Oral Paste Once daily for 1 month had stopped since 1 month.

2) Chlorhexidine (antibacterial) Mouthwash twice daily for 1 month had stopped since 1 month.

3) Ayurvedic Medicine: Oral: for 2 months stopped in Feb 2022, had not noticed any improvement with Homeopathy.

4) Homoeopathic treatment for 3 months had stopped in the last 1 month since more spread was noticed.

Biopsy Dated 29^th February 2022- Acanthosis with sub-epithelial lichenoid infiltrate.

Associated complaints:

H/O Herpes simplex, he used to get small watery eruptions in the right buccal mucosa off and on for 1 year. He also mentioned of suffering from Hair fall and hair thinning with dandruff since 2013.

Family history: Father had diabetes, hypertension, and osteoarthritis. He mentioned maybe his sister also had a history of Lichen planus but he was not sure about it.

At Life Force Homeopathy: A detailed case history was taken over a call since he had started online treatment, and the case was studied in-depth by Dr. Rajesh Shah. Blood investigations were carried out, and some deficiency was found so supplements were suggested and dietary recommendations were provided.

Follow-Up Summary:

By 29^th August 2022 in his first follow-up, he showed positive changes, and the white lacy lesion was reduced. He experienced slight irritation and pain at angle upper and lower gums. As per the case need the necessary changes were made in the prescription and the medicines were prescribed for the next 2 months.

On 30^th October 2022, he was further better and also he had stopped using steroids. Without steroids, he was able to manage only with Homeopathy. He mentioned a new lesion in the oral cavity, the probable cause may be the intake of amla, however, amla doesn’t seem to cause any Oral LP lesions, but a note of the same was made.

By 23^rd December 2022, no new lesions were noticed, but the buccal mucosa irritation and the old lesions persisted. His case was revaluated and the new medicines were sent across.

In April 2023, he was 65% better, further improvement was noticed; mild spicy food does not cause any burning, and mild irritation was occasional.

He continued to improve. With the next 8 months of Homeopathic treatment, his oral lichen planus steadily improved.

By 10^th March 2024, his condition was 90% improved. Occasionally he experienced mild burning pain after eating spicy food and he was able to eat mild spicy food.

Conclusion:

This case highlights the effectiveness of Life Force homeopathic treatment in a twenty-nine-year-old teacher managing oral LP and associated symptoms, providing a holistic approach to improving the patient's quality of life without drug dependence.

• Written by Dr. Deepa Chandroth an Associate Doctor to Dr. Rajesh Shah, MD (Hom) at Life Force Homeopathy.