Friday, July 30, 2010

Lichen Planus Trigger

Many articles and discussion about Lichen Planus revolve around the suggestion that it is triggered by stress. (not caused by stress). Needless to say, the following books might be considered helpful in understanding and reducing stress.

It's up to you to decide if these will help you.

What Happy People Know
By Baker, D. and Stauth, C.
What should I do with my life?
By Bronson P.
Don't Sweat The Small Stuff
By Carlson, R.
The Power of Full Engagement
Loehe, J and Schwartz T.
The Power of Optimism
McGinnis A L.
The Lost Art of Listening
Nichols, M.
Learned Optimism
Seligman M.E.P.
Half empty-Half Full
Vaughn, S.

I, personally do not believe Lichen Planus is triggered by stress. There are so many kinds of stress, how would one pinpoint it? On the other hand, I cannot help but notice how deeply stressed out I feel when my mouth is burning and raw open sores proliferate. Yes, that is very stressful indeed!


Marilyn said...

Yes, they say "stress" is a trigger, but we all have stress! I have even seen writings on psychosomatic OLP! Unless one actually suffers from this ailment, it is impossible to describe. I have a wonderful life, by many standards, but I have OLP. Hard to say what exactly the trigger mechanism is, but I also have 2 other autoimmune issues (type 1 diabetes for 47 years and hashimoto's thyroid disease), so maybe it's just a flawed autoimmune system period?

Elizabeth Munroz said...

So, glad you commented on this Marilyn. I figure the stress is caused by the Lichen Planus, itself. And when it is said the other way around, it is those who don't have a scientific background who say it. It is too easy to see the stressed out patient and point at that as the reason. Science is at the base of Lichen Planus. Except for Lichenoid Planus, it is a definitely proven autoimmune disease. Often those with other autoimmune problems also get Lichen Planus. Time for me to write more about the science between T-cells and autoimmunity. In the meantime, I do think it helps to find ways to help ourselves with the stress caused by Lichen Planus.

D said...

I am a 25 year old male who has had oral lichen planus (diagnosed by dentist and pathologist)for five years and even though I don't believe for a second that OLP is caused by stress I am completely sure that stress has triggered my worst flare ups. I also have an anxiety disorder and flare ups have coincided with my most anxious moments too many times to ignore. I was under treatment for anxiety last year and most of the time my mouth was only slightly irritated. I stopped treatment and then had the worst episode of OLP so far. Stress and anxiety affect the immune system, which in turn affects our autoimmune disorder.

Elizabeth Munroz said...

You might find this interesting because it relates to what you've written:

Arch Oral Biol. 2011 Mar 3. [Epub ahead of print]

Salivary cortisol and dehydroepiandrosterone (DHEA) levels, psychological factors in patients with oral lichen planus.

Girardi C, Luz C, Cherubini K, Figueiredo MA, Nunes ML, Salum FG.

Oral Medicine Division, São Lucas Hospital, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, Brazil.


The aim of this study was to determine the salivary levels of dehydroepiandrosterone (DHEA) and cortisol and scores of depression, anxiety and stress in patients with oral lichen planus (OLP).

Thirty-one patients with a diagnosis of OLP were selected; they were matched by sex and age with 31 control patients.

Symptoms of depression, anxiety and stress were investigated by the instruments Beck Depression Inventory, Beck Anxiety Inventory and Lipp's Inventory of Stress Symptoms for Adults, respectively.

Saliva was collected in the morning and at night for the determination of DHEA and cortisol levels by radioimmunoassay.

There was no significant difference between the groups with respect to depression (P=0.832), anxiety (P=0.061) or stress (P=0.611), or with respect to morning and night salivary levels of DHEA (P=0.888, P=0.297) and cortisol (P=0.443, P=0.983).

The results suggest an association of OLP with anxiety.

However, DHEA and cortisol levels did not differ between groups, which does not support any neuroendocrine aetiology for OLP.

Copyright © 2011. Published by Elsevier Ltd.

PMID: 21377142 [PubMed - as supplied by publisher]

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