Lichen planus
Lichen planus (also called lichen ruber) – get it checked and diagnosed early by an experienced dermatologist at the Derma Medical Clinic in Zurich-Sihlcity.
Lichen planus
Have chronic abscesses and painful nodules clarified and treated by an experienced dermatologist at the Derma Medical Clinic in Zurich - Sihlcity
Itchy, reddish bumps on the skin, mucous membranes or in the genital area can be a sign of a rare autoimmune condition called lichen planus. At the Derma Medical Clinic, we examine your symptoms carefully and recommend the right treatment.
Examinations
Examination using a dermatoscope (skin magnifying device)
If needed: skin sample (biopsy)
In case of mucosal involvement: swab test
Procedure
Initial consultation
Examination of the affected skin or mucosal areas
Duration
20 minutes
What is lichen planus?
Lichen planus – known medically as lichen ruber – is a chronic skin disease where the immune system mistakenly attacks your own skin cells.
This causes itchy, reddish-violet bumps, most often on the wrists, forearms or lower legs. Mucous membranes can also be affected – for example, with burning areas in the mouth or whitish streaks in the genital area.
Symptoms usually appear in phases and may last for a longer time.
An examination is recommended if you …
- have had itchy, reddish bumps on your skin for several weeks that do not go away
- are experiencing changes in your mouth or genital area – such as white streaks, burning or pain
- keep developing new skin rashes without a clear reason
- already have an autoimmune condition and notice new skin changes
- have an unclear skin finding that doesn’t respond to normal treatment
What happens during treatment for lichen planus?
First, your skin will be thoroughly examined. The typical bumps often provide an early clue. If the findings are unclear or other conditions need to be ruled out, we may take a small tissue sample.
What happens during treatment?
Treatment depends on the severity. Often, anti-inflammatory creams or ointments are used.
UV light therapy at the clinic is also effective. Affected skin areas are exposed to UV light to reduce inflammation and itching.
In some cases, cortisone injections are given directly into affected skin areas.
Even with successful treatment, relapses can occur. That’s why we plan your care at the Derma Medical Clinic carefully and adjust it as needed.
What does treatment look like?
Initial consultation
We talk with you about your symptoms, previous treatments and possible triggers.
Skin examination
We carefully examine affected skin or mucosal areas. If necessary, we’ll take a small tissue sample.
Treatment planning
We discuss the diagnosis and choose the treatment that suits you best.
Follow-up checks
After treatment we check your skin regularly to see if the condition comes back.
At the Derma Medical Clinic, lichen planus is treated only by experienced specialist dermatologists:
- Dr. Benjamin Miller, specialist in dermatology and phlebology
- Dr. Markus Dendorfer, specialist in dermatology and paediatric dermatology
Both have many years of experience in diagnosing and treating chronic inflammatory skin conditions.
Dr. Benjamin Miller
Board-certified Specialist in Dermatology and Venereology FMH
Dr. med. Markus Dendorfer
Board-certified Specialist in Dermatology and Venereology FMH
What you can expect from us
Thorough examination
The examination is done in a calm setting – there’s time for your questions and concerns. If needed, we’ll take a small tissue sample for more accurate testing.
Personalised treatment and close support
Several treatment options to choose from – including creams, tablets or light therapy.
Light therapy on site
UVB light therapy can help reduce itching and calm inflammation – right here at the clinic, with no extra travel needed.
Everything in one place
You receive diagnosis, medical care and cosmetic support all in one place. This gives you fixed points of contact, short distances and coordinated care – from the first visit through follow-up.
Have you had itchy, reddish bumps or mucosal changes for weeks and no clear diagnosis?
Book an appointment for a thorough check-up now at Derma Medical Clinic in Zurich – Sihlcity.
FAQ – Frequently asked questions about lichen planus
What is lichen planus?
Lichen planus – also called lichen ruber – is a chronic inflammatory autoimmune condition of the skin. It typically causes itchy, flat, reddish-violet bumps. In some cases, mucous membranes, nails or the scalp may also be affected.
What symptoms does lichen planus cause?
- Itchy, reddish-purple bumps on the skin
- Fine white lines on the skin (known as Wickham striae)
- Burning or pain if mucous membranes are involved (e.g. mouth or genital area)
- Changes to nails or hair
How does lichen planus develop?
The exact cause is unknown. Experts believe the immune system mistakenly attacks the body’s own skin or mucosal cells. In rare cases, infections or certain medications may be involved.
Is lichen planus contagious?
No – lichen planus is not contagious and doesn’t spread through touch, droplets or blood.
How is lichen planus diagnosed?
In many cases, the appearance of the skin is enough for diagnosis. If unclear, a small sample (biopsy) can be taken for microscopic testing. Mucosal changes can also be specifically examined.
How is lichen planus treated?
Treatment usually involves anti-inflammatory creams – such as those with cortisone. If symptoms are more severe, tablets or UVB light therapy may be needed. The goal is to reduce itching and inflammation and prevent flares.
How long does lichen planus last?
The condition can last for several months or even years. In many cases, it improves on its own – but can return. Starting treatment early can improve the outcome.
What helps relieve the itching?
Cortisone creams or lotions usually work well to relieve itching. Cooling lotions or antihistamines can also help. Important: try not to scratch or rub the skin to avoid further irritation.
What types of lichen planus are there?
- Lichen planus (classic skin form)
- Lichen planus mucosae (affects mucous membranes – e.g. mouth or genital area)
- Lichen planus unguium (nail involvement)
- Lichen planus follicularis (hair/scalp involvement)
