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Can lesions on the face be lichen planus?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have had this lesion on my face for over 3 months, it has not gone away. My doctor injected it with Cortisone and sprayed nitrogen oxide on it, and it has not helped. He is not sure what it is but thought it could be lichen planus or lupus. However, those treatments have not been effective.

Kindly help.

Answered by Dr. Thakare Sampada Avinash

Education:

MD DVL

Professional Bio:

Dr. Thakare Sampada Avinash is a Cosmetologist and Dermatologist with 12 years of clinical experience. She did her MBBS in 2011 and MD in Dermatology, Venereology, and Leprosy from Datta Meghe Institute Of Medical Sciences in 2015. She conducts screenings and skin evaluations and analyzes the patient's medical history to determine appropriate treatments. She is a Venereologist who is concerned with the study and treatment of sexually transmitted diseases.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

If a biopsy was done, then it should give you the exact diagnosis. At present, since you have undergone the procedure, the image of the lesion must have been altered. In lichen planus histopathology, basal cell degeneration and interface dermatitis with colloid bodies are the main findings. Whereas in lupus vulgarism, epidermis hyperplasia, tuberculoid granuloma with lymphocytes, plasma cells, epitheloid cells, giant cells, and fibrosis in the dermis would be classical findings. Lupus commonly sits in the face. At first, it appears as a small nodule joined to form plaque and gives an apple jelly appearance on the diascopy.

I hope this helps.

Medically reviewed by iCliniq medical review team
Published At February 13, 2024
Reviewed At February 21, 2024

Education:

MD DVL

Professional Bio:

Dr. Thakare Sampada Avinash is a Cosmetologist and Dermatologist with 12 years of clinical experience. She did her MBBS in 2011 and MD in Dermatology, Venereology, and Leprosy from Datta Meghe Institute Of Medical Sciences in 2015. She conducts screenings and skin evaluations and analyzes the patient's medical history to determine appropriate treatments. She is a Venereologist who is concerned with the study and treatment of sexually transmitted diseases.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD DVL

Professional Bio:

Dr. Thakare Sampada Avinash is a Cosmetologist and Dermatologist with 12 years of clinical experience. She did her MBBS in 2011 and MD in Dermatology, Venereology, and Leprosy from Datta Meghe Institute Of Medical Sciences in 2015. She conducts screenings and skin evaluations and analyzes the patient's medical history to determine appropriate treatments. She is a Venereologist who is concerned with the study and treatment of sexually transmitted diseases.

This doctor is not available for online consultations on the platform anymore.

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