What is indicated for asymptomatic patients with lichen planus?

In the context of asymptomatic patients with lichen planus, the most appropriate approach is to opt for no treatment. Lichen planus is a condition that can often be self-limiting, and if the patient is not experiencing any symptoms, there may be no need for intervention. This is particularly important because unnecessary treatment can lead to potential side effects or complications, especially when the condition may resolve on its own over time.

Immediate intervention is typically reserved for cases where symptoms are present or particularly severe, and corticosteroids may be beneficial for symptomatic patients, but unnecessary use in asymptomatic cases is not warranted. Regular monitoring could be considered in some contexts, but without symptoms or bothersome lesions, it is generally more practical to allow the patient to be monitored naturally without active treatment unless signs warrant further action.