Lichenified: when to get help

1. 1

   Is any of this happening now?

   Call 911

   Call emergency services if you also develop difficulty breathing, faintness, or sudden swelling of the lips, tongue, or throat.

   These symptoms suggest a serious allergic reaction rather than lichenification itself.

   Other emergency signs, for anyone

   • Someone who is struggling to breathe, gasping, choking, or cannot get words out
   • Someone who has chest pain, tightness or pressure lasting more than a few minutes
   • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
   • Someone who is unconscious, or cannot be woken
   • Someone who is bleeding heavily and it will not stop with firm pressure
   • Someone who has had a seizure that will not stop, or does not wake up afterwards
   • Someone who has lips or skin that look pale, blue, grey or blotchy
   • Someone who you believe has taken an overdose or swallowed something poisonous
   Yes, one of theseNo, none of these
2. 2

   Is any of this happening?

   Be seen today

   Seek same-day medical advice if the area becomes rapidly more red or discoloured, warm, swollen, or painful, particularly if there is pus, a bad smell, fever, or you feel unwell.

   These changes may indicate a skin infection.

   Get urgent assessment for severe pain, widespread blistering, skin peeling, or a rapidly changing rash.

   These are not typical features of simple lichenification.

   Yes, one of theseNo, none of these
3. 3

   Does any of this apply?

   Book an appointment

   Book a routine appointment if the patch persists, spreads, repeatedly returns, or affects sleep and daily activities.

   You should also arrange an assessment if the skin is cracked or bleeding, the itching is severe, or self-care has not helped.

   Yes, one of theseNo, none of these

Every sign above is quoted from the sofidex article on Lichenified. If you are not sure, err upward — it is always reasonable to be checked.