Lichen Planus Hyperpigmentation Treatment
A case of lichen planus pigmentosus that was recalcitrant to topical treatment responding to pigment laser treatment. Facial hyperpigmentation is common and challenging to treat in darker-skinned populations.
They are safe and well tolerated.
Lichen planus hyperpigmentation treatment. A variety of topical treatments are available to lightenbleach hyperpigmented lesions in epidermal hypermelanosis. Lichen planus in your mouth can last for several years. Topical glucocorticoids are the treatment of choice although their efficacy has not been proven in well designed randomized controlled trials.
Topical treatments for postinflammatory hyperpigmentation. Modified phenol peels seem effective in reduction of hyperpigmentation of LPP. Mouthwashes and sprays from a GP can help ease symptoms like burning or sore gums.
For serious cases of itching your physician may prescribe antihistamines or steroids. A Medline literature search of articles published up to October 2013 reporting the objective assessment of andor treatment for melasma postinflammatory hyperpigmentation dermatosis papulosa nigra lichen planus pigmentosus and erythema dyschromicum perstans was reviewed. Hyperpigmentation in nearly half of patients treated withlow-dose20mgdailyisotretinoinandsunscreen for a 6-month period.
Treatment In mild cases symptoms may be minimal or absent and no therapy may be needed. Griseofulvin isotretinoin and dapsone provided unsatisfactory results as lesions recurred after discontinuation. You should be careful when applying them as they can cause irritation to normal skin.
These are available in many strengths and formulations including cream ointment gels solutions oral rinses and others. If creams and ointments do not work or you have severe lichen planus steroid tablets or treatment with a special kind of light light therapy can help. Most cases of lichen planus of the skin clear up on their own within 6 to 9 months.
For example steroid creams or ointments are often used to help relieve the itch and control the rash. The most common are. Good improvement ie 50 was seen in approximately one-fifth of patients.
8112016 Treatment Vitamin A Topical corticosteroids Topical calcineurin inhibitors such as tacrolimus medications that are typically used to treat eczema Dapsone a medication used to treat leprosy and skin infections Skin lightening agents Laser therapy. 1422020 Theres no single treatment that can cure lichen planus completely. However treatments are available to help manage the symptoms and make living with it easier.
Treatment There is no cure but many different medications and procedures have been used in efforts to control the symptoms. Topical bleaching agents such as hydroquinone azelaic acid tretinoin and corticosteroid creams Chemical peels and laser therapy. Varying degrees of success are achieved but combinations of the treatments below are usually required for significant improvement.
The review of the literature on treatment outcomes showed that NB-UVB and tacrolimus were effective with minimal side effects. Clofazimine was effective but demonstrated significant-to-intolerable side effects. 1772020 The aim of the management of cutaneous lichen planus is to reduce itching and shorten the duration between onset of the disease and resolution of the lesions.
792018 There are certain over-the-counter creams and ointments for Lichen planus which you can directly apply to the rashes and scars. For patients requiring treatment first line therapy is usually a topical corticosteroid medication. Specific lasers with specific settings need to be used by a trained dermatologist to avoid further complications or worsening of the condition.
5 Notably this study excludedpatientswithsystemic therapy attempted within 3 months of enrollment and does not describe prior treatment trials of. There is no cure for lichen planus and so treatment of cutaneous and oral lichen planus is for symptomatic relief or due to cosmetic concerns. 29122016 The cutaneous lesions of lichen planus usually resolve spontaneously within 1 to 2 years but the oral lesions may persist and be of sufficient severity to cause trouble with food intake.
When medical treatment is pursued first-line treatment typically involves either topical or systemic corticosteroids and removal of any triggers. Thorough priming stringent sun protection and use of post-peel adjuvant topicals boost the peel effect and aid in maintaining the effect for up to a year.
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