International Journal of Homoeopathic Sciences

Background: Lichen planus(LP) is a papulosquamous skin disorder affecting stratified squamous epithelia of skin and mucous membrane. The classical skin changes are pruritic, purple, polygonal, flat-topped (planar) papules crossed by fine white lines, while erosions are seen on the mucous membranes.

Case summary: A female patient aged 40 years came to NIH OPD, with pruritic reddish patches on extensor aspect of both legs and inability to hold urine during urge. The case was diagnosed as lichen planus and urge urinary incontinence. After thorough case taking and Repertorisation Lachesis mutis was prescribed in centesimal and LM scale. The itching and redness disappeared. Using ICIQ UI SF questionnaire, the severity of urinary incontinence patient was assessed and patient was able to hold urine after treatment.

Conclusion: The case verifies homoeopathic principles. Only a single medicine was administered throughout the course of treatment. The role of homoeopathy in autoimmune conditions such as lichen planus and surgical diseases such as urinary incontinence stands verified.