What follow-up protocols should I implement for patients with lichen planus to monitor for potential complications?

Follow-up protocols for patients with lichen planus should include regular clinical review to monitor for potential complications such as malignant transformation, particularly in oral lichen planus. This involves periodic examination of affected mucosal and skin sites to detect any suspicious changes early.

Patients should be advised to report any new symptoms such as persistent ulcers, pain, or changes in lesion appearance promptly. This vigilance helps in early identification of complications including squamous cell carcinoma.

In cases of oral lichen planus, referral to or co-management with specialist dermatology or oral medicine services is recommended for ongoing assessment and biopsy of suspicious lesions.

There is no specific UK guideline excerpt provided in the context for lichen planus follow-up; however, by analogy with chronic inflammatory skin conditions like psoriasis, regular review to assess disease severity, treatment adherence, and adverse effects is prudent. Annual review may be appropriate depending on clinical judgement and disease activity.