Metadata

Name Lichen planus (lichen_planus)
Category Skin
Sex
Adult Yes
UUID 439420d4-0b24-4543-931d-a355c88a0a03
Definition A lichen disease that is located in skin, located in tongue or located in oral mucosa, which presents itself in the form of papules, lesions or rashes. The cause is not known.

Ontologies

Disease Ontology (DOID) DOID_9201
GWAS Catalogue EFO_1000726
MeSH D008010
SNOMED-CT 4776004
FinnGen L12_LICHENPLANUS

Key Summary Statistics

Cases from any source

Total 3695
Female (%) 2392 (65%)
Male (%) 1303 (35%)

Year first recorded

lichen_planus year of first event

Cases linked in all UK Biobank sources

Cross-source concordance

Vertical bars correspond to number of cases per source/intersection; horizontal bars to left correspond to total number of cases per source.

Cross-sourced lichen_planus cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of lichen_planus

Baseline prevalence stratified by sex

Female 90.65 (84.27,97.03)
Male 71.12 (64.95,77.28)

Incidence stratified by sex

Female 7.69 (6.97,8.42)
Male 4.09 (3.52,4.67)

Incidence stratified by age

Ages 40-44 3.74 (2.53,4.94)
Ages 45-49 5.44 (4.19,6.69)
Ages 50-54 4.79 (3.7,5.87)
Ages 55-59 7.09 (5.89,8.29)
Ages 60-64 6.76 (5.76,7.77)
Ages 65-69 6.71 (5.56,7.85)

Period prevalence

Methods

Comparison with general population

Sex-standardised prevalence from CALIBER study (Kuan et al. 2019)

CALIBER and UKB lichen_planus prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 66 (58,74) 98 (91,106) 140 (132,148)
CALIBER 52 (50,54) 94 (91,97) 133 (130,137)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 63(46,84) 95(79,113) 132(117,149)
Low 69(52,91) 100(83,118) 146(130,164)
Medium 62(46,83) 93(77,111) 140(124,158)
High 63(48,82) 111(94,130) 133(117,152)
Most deprived 69(54,87) 94(79,112) 147(129,168)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 71(62,81) 107(98,116) 149(141,158)
Scotland 39(23,60) 66(50,85) 89(72,108)
Wales 54(31,89) 73(52,99) 117(93,145)

Risk factors analysis

‘Healthy’ BMI, smoking status ‘never’, or no hypertension (absence of hypertension records) were considered as reference values.

Hazard Ratio (HR) values with P < 0.0002 were considered to show significant association with disease onset after correction for multiple-testing using the Bonferroni method

N=153595, Events=126

Factor Level Hazard Ratio P value
BMI overweight 0.75 (0.51, 1.1) 0.143
BMI obese 0.53 (0.31, 0.88) 0.014
BMI underweight 0 (0, Inf) 0.992
smoking previous 1.05 (0.71, 1.56) 0.804
smoking current 1.31 (0.76, 2.25) 0.339
hypertension yes 1.64 (1.09, 2.47) 0.0186

Risk factors analysis forest plot

Definition

UK Biobank field id Description Code Value
20002 Non-cancer illness code, self-reported 1549 lichen planus
41202 Diagnoses - main ICD10 L43 Lichen planus
41202 Diagnoses - main ICD10 L66.1 Lichen planopilaris
41204 Diagnoses - secondary ICD10 L43 Lichen planus
41204 Diagnoses - secondary ICD10 L66.1 Lichen planopilaris
40001 Underlying (primary) cause of death: ICD10 L43 Lichen planus
40001 Underlying (primary) cause of death: ICD10 L66.1 Lichen planopilaris
40002 Contributory (secondary) causes of death: ICD10 L43 Lichen planus
40002 Contributory (secondary) causes of death: ICD10 L66.1 Lichen planopilaris
42040 GP clinical event records M170000 Lichen planus actinicus
42040 GP clinical event records M170100 Lichen planus annularis
42040 GP clinical event records M170200 Lichen planus atrophicus
42040 GP clinical event records M170300 Lichen planus bullosus
42040 GP clinical event records M170400 Lichen planus hypertrophicus
42040 GP clinical event records M170500 Lichen planus linearis
42040 GP clinical event records M170700 Lichen planus obtusus
42040 GP clinical event records M170800 Subacute active lichen planus
42040 GP clinical event records M170900 Follicular lichen planus
42040 GP clinical event records M170.00 Lichen planus
42040 GP clinical event records M170z00 Lichen planus NOS
42040 GP clinical event records M240R00 Lichen planopilaris
42040 GP clinical event records Myu3200 [X]Other lichen planus
42040 GP clinical event records X507b Follicular lichen planus