09/10/2022
A case of rare variant of Lichen Planus named Lichen Planus Actinicus.
A 26 years male presented with erythematous brownish plaques in an annular configuration with atrophy in his extensor surface of the distal forearm and the dorsal surface of the hands ( Left > Right) . The primary cutaneous lesions are pruritic, polygonal, violaceous plaques. He had a history of taking anti-histamines and application of sun screen cream.
The conditions was confirmed as Licen Planus Actinicus(LPA).
What is LPA ?
LPA belongs the class of Photoaggravated Photosensitivity diseases.
Photoallergy is much less common and is distinct in that it is an immunopathologic process. The excited state photosensitizer may create highly unstable haptenic free radicals that bind to covalently to macromolecules to form a functional antigen capable of evoking a delayed type hypersensitivity response. The clinical manifestations typically differ from those of phototoxicity in that an intensely pruritic eczematous dermatitis tends to predominate and evolves into lichenified, thickened, leathery changes in sun-exposed areas.
*My Clinical experience regarding the above mentioned patient-
After case taking I gave him PSORINUM 200,200,1M potency for three days (in one litre water doses) respectively. As a complement I used ARSENICUM IODATUM 200 twice daily before meal.
Put him on diet restriction - To avoid coffee(Note- Patient taking psorinum never improves if he drinks coffee), tea, meat, raw ginger onion and garlic.
The patient showed a sharp aggravation of itching on third day after taking Psorinum. The patient was convinced to bear the itching and from fourth day his itching gradually decreased and now its not even pruritic. Inflammation and scales disappeared. No external ointment not even sunscreen were prescribed.
Hence, his two months long standing sufferings come to an end with Homeopathy.
