Treatment of Lichen Planus in a 72-Year-Old Patient
Overview
A 72-year-old retired nurse sought treatment for severe itchiness and purple, scaly patches on her hands, elbows, legs, and thighs, which had persisted for seven years. Her symptoms developed six months after a severe flu that left her bedridden for weeks. Initially, small, itchy bumps appeared on her legs, arms, and back, but they gradually turned into purple patches and became increasingly uncomfortable.
She was diagnosed with Lichen Planus, an autoimmune condition where the immune system mistakenly attacks the skin. Despite receiving conventional treatment, her symptoms remained severe, affecting her quality of life.
Key challenges
- The patient was prescribed Methotrexate, an immunosuppressant, along with topical creams. However, the medication did not provide sufficient relief.
- Persistent itchiness disrupted her sleep, making her symptoms even harder to manage.
- Methotrexate caused nausea, further affecting her well-being.
- Her symptoms were chronic, with frequent flare-ups that were difficult to control.
- Examination revealed a red-purple tongue with a thick, greasy yellow coating, indicating inflammation in her digestive system.
- The scaly, purple skin lesions suggested an issue with poor circulation and a lingering imbalance in her immune system.
Treatment
A comprehensive treatment plan was developed to:
- Eliminate lingering infections or toxins that had weakened her immune system.
- Reduce inflammation in the digestive system and skin.
- Strengthen circulation to promote healing of the skin.
- Relieve itching and improve sleep quality.
The treatment included:
- A customized herbal prescription with 16 different herbs targeting inflammation, immune regulation, and circulation.
- Dietary recommendations to reduce inflammatory foods such as sugar, processed foods, and excessive dairy.
- Suggestions for stress management techniques, as emotional stress can worsen autoimmune reactions.
- Light exercise and relaxation techniques to improve circulation and overall well-being.
Outcomes
- After two weeks, the patient experienced significant relief from itchiness, leading to better sleep.
- Throughout the year, her symptoms gradually improved, and flare-ups became less frequent.
- By the end of treatment, her skin had cleared completely.
- Six months after stopping treatment, she reported that she was still symptom-free and no longer needed Methotrexate.
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