<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi doctor, Ive been having some trouble lately. Im having difficulty speaking and have a skin rash with dryness, peeling, scaliness, and roughness.  <response>: Based on your symptoms, it seems like you may have lichen planus. Its a skin condition that can also affect the lining of the mouth and throat, causing difficulty speaking. 