扁平苔藓(LP)是一种特发性,细胞介导的免疫紊乱,伴有瘙痒。发生自发缓解。使用局部和全身疗法。提出了4例伴有或不伴有粘膜受累的全身性LP病例,经顺势病理治疗。病例1:一名48岁女性,有7个月的全身发痒皮疹史,被诊断为LP,用局部类固醇和去除牙齿填充物治疗失败。检查发现上肢和下肢有紫红色丘疹,口腔粘膜损伤和不规则,红斑,热烫,胸部有黄斑皮疹.她在药物稀释因子(MK)效力下接受了顺势疗法Ignatiaamara,每周一次的剂量,并在3个月时进入缓解状态。患者仍处于缓解状态。案例2:一名65岁的女性,有27年的全身性病史,LP,对局部类固醇无反应。检查显示广义,紫罗兰色丘疹,没有粘膜受累.她接受了顺势疗法的金属金光,MK效力,每周,进入缓解期.她在治疗开始后8个月复发,在一个非常紧张的事件之后,但在治疗1个月后,金属金黄再次缓解。她仍在缓解中。案例3:一名38岁的男性,有21年的广泛性LP病史。乙肝和哮喘病史显著。局部类固醇治疗仅部分成功。检查显示广义,紫罗兰色丘疹,口腔和生殖器受累。他接受了MK强效的顺势疗法Lycopodium,每周,并在2个月前汇出。他仍在缓解中。案例4:一名41岁的男性,有12年的广泛性肥厚性LP病史,对局部类固醇和紫外线A疗法有部分反应。病史对嗅觉降低有重要意义。检查显示广义,小提琴,肥大丘疹和结节。他接受了MK效价的顺势疗法癌,并在6个月后缓解。在其悠久的历史中,广义形式,粘膜受累,LP可能对个性化顺势疗法有反应。更多的研究可能会阐明顺势疗法在LP治疗中的地位。
Lichen planus (LP) is an idiopathic, cell-mediated immune disorder, accompanied by itching. Spontaneous remission occurs. Topical and systemic therapies are utilised. Four cases of generalized LP with and without mucosal involvement treated homeopathically are presented.
Case 1: A 48-year-old female presented with a 7-month history of generalized itchy rash, which had been diagnosed as LP, treated unsuccessfully with topical steroids and removal of dental fillings. Examination revealed violaceous papules on upper and lower limbs, oral mucosal lesions and an irregular, erythematous, blanching, macular rash on the chest. She received homeopathic Ignatia amara at medication dilution factor (MK) potency, weekly dose and went into remission at 3 months. Patient remains in remission.
Case 2: A 65-year-old female presented with a 27-year history of generalized, LP, which had been unresponsive to topical steroids. Examination showed generalized, violaceous papules, with no mucosal involvement. She received homeopathic Aurum metallicum, MK potency, weekly, and went into remission. She relapsed at 8 months after onset of therapy, following a very stressful incident, but gained remission again with Aurum metallicum after 1 month of therapy. She remains in remission.
Case 3: A 38-year-old male presented with a 21-year history of generalized LP. Medical history was significant for hepatitis B and asthma. Topical steroid therapy was only partially successful. Examination revealed generalized, violaceous papules, with oral and genital involvement. He received homeopathic Lycopodium at MK potency, weekly, and remitted by 2 months. He remains in remission.
Case 4: A 41-year-old male presented with a 12-year history of generalized hypertrophic LP, which had responded partially to topical steroids and ultraviolet A therapy. Medical history was significant for reduced sense of smell. Examination revealed generalized, violaceous, hypertrophic papules and nodules. He received homeopathic Carcinosinum at MK potency and remitted at 6-months. In its long-standing, generalized form, with mucosal involvement, LP may respond to individualized homeopathy. More research may clarify homeopathy\'s place in LP therapy.