Ramesh et al listed response criteria for a patient with lichen planus who is receiving oral steroid therapy.The authors are from Kasturba Medical College and Hospital in India.
Patient selection: lichen planus on oral mini-pulse steroid therapy
Parameters:
(1) severity of pruritis
(2) appearance of new lesions
(3) number and appearance of existing elevated lesions
(4) steroid-related side effects
If there was no improvement after 6 months of therapy, then it was classified as treatment failure.
Appearance of Existing Lesions
New Lesions
Pruritis
Improvement
all gone
none
none
100%
few elevated
none
none to mild
76-100%
most lesions remain and are elevated
none
mild to moderate
51-75%
most lesions remain and are elevated
any
moderate to severe
< 50%
no change
NA
unchanged
failure
where:
• Appearance of new lesions is usually referred to as progression.
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