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These answers are for informational purposes and do not replace a physician head-to-head visit. A patient-physician relationship is not established.
Is it possible to forward a photograph of the rash?
Hello, have you seen the photograph?
Thank you for the picture.
Are you taking any medication? Is there any visible change on your tongue.
If you have not been taking any medication, I would be highly suspicious that this is generalized lichen planus. Lichen planus itches, came come out suddenly and involve the oral mucosa, including the tongue.
We do not know what causes this, the generalized variety is a uncommon. Sometimes, it is in response to a drug. If you look at the individual lesion, we are taught the five "p"s which are Pruritic ( itchy), Planar, polygonal, purple, and papules. If the bumps on your body follow this set, this is most likely what you have.
We generally treat this with a sedating anti-histamine such as Hydroxyzine 10-25 mg. every 4 hours, and Prednisone staaring at 1 mg./kg. a day and tapering as you get better. Your physician can also prescribe Kennalog in Orabase for the tongue problem.
If the above does not work, you rphysician might prescribe Soriatane.
Your physician should check you for Hepatitis C since about 15% or patients with lichen planus, and 30% of those with oral involvement, are positive for this. As you may know, Hepatitis now has very good treatment, but the earlier this is initiated, the better.
I would recommend a biopsy to confirm the diagnosis.
Hope that helps and feel free to get back to me with any questions.
Is it worth getting an inflammation test, as I get burning sensation?
Would you rule out Pityriasis rosea?
I can not rule Pityriasis Rosea out, especially if there was a herald patch. While not typical, this could be a variant. Pitryiasis Rosea can occasionally itch quite a bit. By inflamamtion test doyou mean a sedimentation rate?
Ok thanks for your answers.
Very welcome. Please let me know what happens.