Lichen planus

Lichen planus is a non-infectious condition that causes an itchy rash on the skin, often on the wrists, ankles and lower back, or white streaky patches in the mouth. It can also affect the genitals, nails and scalp. It is thought to be caused by the immune system, and it is not passed on to others.

Last updated Nov 9, 2026

What it is

Skin lichen planus often clears up within a year or two. Mouth lichen planus can last longer.

Steroid creams, mouthwashes and other treatments help with symptoms. Mouth lichen planus needs regular check-ups, as there is a small increased risk of mouth cancer.

Common signs

  • Shiny, purple-red, flat-topped bumps on the skin
  • Itching
  • White lacy patches in the mouth
  • Painful sores in the mouth or genitals
  • Ridged or thin nails

How it is usually diagnosed

  • Examination of the skin and mouth
  • Biopsy, sometimes

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Dermatology or oral medicine letters
  • Biopsy reports
  • Treatments tried

Questions to ask your doctor

  • How long might it last?
  • Which treatment would help?
  • How often should my mouth be checked?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • A mouth sore that does not heal within 3 weeks, or a lump in the mouth: get it checked urgently

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

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