18 Key Symptoms of Lichen Planus You Need to Recognize

11. Burning Sensation

For many patients with lichen planus, particularly in its oral form, a persistent burning sensation can be one of the most bothersome symptoms. This discomfort may occur even in the absence of visible sores or lesions, making it challenging for some individuals to pinpoint the cause of their pain. Commonly affected areas include the tongue, gums, and inner cheeks, where inflammation and irritation are most pronounced. This burning sensation is often exacerbated by spicy, acidic, or overly hot foods and beverages, leading to significant discomfort during meals. Over time, the consistent irritation may reduce a patient’s appetite, contributing to unintended weight loss or nutritional deficiencies. Some individuals might also experience a heightened sensitivity to textures or temperatures in foods, further complicating their dietary choices. Managing this symptom often involves a combination of dietary modifications, soothing mouth rinses, and targeted treatments like corticosteroid gels to reduce inflammation and irritation.

12. Skin Discoloration

Skin discoloration is a common aftermath of lichen planus on the skin, particularly in cases where the rash has been severe or persistent. Once the rash heals, patients may notice patches of hyperpigmentation (darker than the surrounding skin) or hypopigmentation (lighter areas). These discolorations are not only cosmetic concerns but can also cause emotional distress, especially if they occur in visible areas like the face, hands, or forearms. The severity and duration of discoloration often depend on factors such as the patient's skin tone, the intensity of inflammation, and whether scratching or irritation occurred. In some cases, discoloration may last for months or even years. Dermatologists often recommend topical treatments containing ingredients like hydroquinone, retinoids, or vitamin C to help even out skin tone. Sunscreen is also crucial, as sun exposure can worsen pigmentation issues. For particularly stubborn discoloration, professional treatments like chemical peels or laser therapy may be considered.