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lichen planus

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Anyone treat this?

She has had breast cancer last year and underwent

tamoxifen to block estrogen then developed lichen

planus in mouth, genitals and legs. In the mouth it is

a powdery white smooth appearance in patches. on the

skin dry crusty pale red and brown. Can be painful or

just irritating.

She also has noc sweat, afternoon fatigue, joint

aches, cloudy urine, alot of spider veins on the legs,

vaginal dryness, poor cognitive ability since the

tamoxifen. Tongue is purplish red with powdery white

patches, and pulse is wiryR, threadyL and slightly

rapid.

I've been treating yin deficiency and clearing heat

and moving liver qi. Minor bupleurum and TangKuei 18

(tonify yin, blood and move liver qi - 7forest/ITM

formula)She has responded but having ups and downs

(only four treatments so far).

I think her medical history is very interesting

especially because I have a colleague who had lichen

sclerosis who cleared it up entirely with progesterone

cream. My patient can not do this however due to

progesterone receptor positive tumor type.

Any input?

Nicole Hohmann

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