18 Key Symptoms of Lichen Planus You Need to Recognize

13. Fatigue

Fatigue is a frequently overlooked but significant symptom experienced by individuals dealing with chronic lichen planus. The constant itching, pain, or discomfort from rashes, sores, or blisters can make it difficult for patients to get restorative sleep, leading to persistent exhaustion. Beyond physical discomfort, the mental strain of managing a visible and often painful condition can exacerbate feelings of tiredness. Patients may find themselves overwhelmed by the need for regular doctor visits, treatment regimens, and lifestyle adjustments. Fatigue can also be linked to the body's immune response, as the inflammation associated with lichen planus may trigger systemic symptoms. Left unmanaged, this exhaustion can interfere with daily activities, work, and overall quality of life. Treatment strategies often include addressing the root cause of discomfort, such as reducing inflammation or controlling itching, alongside adopting good sleep hygiene practices and managing stress through relaxation techniques or therapy.

14. Scarring on the Scalp

When lichen planus affects the scalp, it can lead to a rare but serious condition known as scarring alopecia or cicatricial alopecia. This occurs when chronic inflammation damages the hair follicles to the point where they can no longer produce hair. Early symptoms may include redness, scaling, or raised lesions on the scalp, often accompanied by tenderness or itching. As the condition progresses, patients might notice bald patches that expand over time, potentially leading to permanent hair loss in the affected areas. The emotional toll of visible scarring and hair loss can be significant, affecting self-esteem and social interactions. Dermatologists typically recommend aggressive early intervention to minimize damage, which may include topical corticosteroids, oral medications, or even immunosuppressive treatments. Scalp biopsies are often performed to confirm the diagnosis and guide treatment. In severe cases, patients may explore hair restoration options like transplants once the condition has been stabilized.