Treatment Options f

or Lichenoid Disord
ers
Lichen Amyloidosis
• Oral ANTIHISTAMINES to reduce itch.
• Topical and Intra lesional Corticosteroids.
• Cryotherpy, Dermabrasion, Curettage, or CO2
laser.
• They tend to persist or recur after treatment.
Lichenoid Drug Eruption
• The trigger medication should be stopped.
• Topical and Oral Corticosteroids gives good r
elief or even resolution.
• Skin lesions may clear in 1-2 months.
• Nail lesions may take up to 6 months to clear.
Lichenoid Keratosis
• Lichenoid keratosis is harmless and resolves s
pontaneously.
• Removed by Liquid Nitrogen, Electrosurgery
or Curettage.
• Oral Acitretin for Multiple eruptive lichenoid
keratoses.
Lichen Nitidus &
Lichen Striatus
• Topical or oral Corticosteroids.for 2-3 weeks
• Oral Antihistamines.
• Emollients

• Both lichen nitidus and lichen striatus have g

ood recovery.
• Relapse is seen in very few pt of lichen striat
us.
Lichen Sclerosus
Tropical Oral
• Corticosteroids • Intralesional or systemi
• Intravaginal oestrogen c c corticosteroids
ream • Acitretin, isotretinoin
• tacrolimus ointment an • Methotrexate
d pimecrolimus cream • Ciclosporin
• Topical retinoid (not on
genital skin)

Surgery may be required due to risk of Carcinoma.

• Lichen sclerosus is a chronic disease and usually per
sists for years.
• Extragenital lichen sclerosus is more likely than a ge
nital disease to clear.
• Early treatment occasionally leads to complete and
long-term remission.
• Scarring is permanent.
• Long term follow-up is required to ensure early diag
nosis of Cancer.
Lichen Simplex
• Primary condition needs to be treated.
• Topical:- Corticosteroid, moisturizer
• Oral:- Antihistamine, Corticosteroid
• Intralesional:- Triamcinolone acetonide
• In Chronic cases topical treatment is continu
ed for a longer period of time.