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Dr. James L. Campbell Jr., MD, MS discusses Lichen Sclerosus Treatment. See more at www.dermnet.com PLEASE RATE AND COMMENT!!! Advise gentle cleansing of involved areas using Cetaphil cleanser, wearing of ventilated cotton underwear and liberal use of bland emollients and lubricants. Avoid panty liners, pre-mixed douches and sprays, and scented toilet paper. Topical application of group V steroid creams for 2 weeks is initial treatment for uncomplicated skin lesions and prepubertal mucosal ...

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Dr. James L. Campbell Jr., MD, MS discusses Lichen sclerosis Skin Findings. See more at www.dermnet.com PLEASE RATE AND COMMENT!!! The primary lesion is an ivory white atrophic papule with a faint pink rim. On the skin, flat-topped, slightly raised papules coalesce into small oval plaques with a dull or glistening, smooth, white, atrophic, wrinkled surface. Focal hemorrhage may be seen among plaques. Keratotic follicular plugs appear on the surface which are described as dells. ... Lichen ...

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Dr. James L. Campbell Jr., MD, MS discusses Lichen Sclerosus Introduction. See more at www.dermnet.com PLEASE RATE AND COMMENT!!! An uncommon chronic inflammatory disease of unknown etiology which affects both skin and mucosal surfaces. This disorder has predilection for the anogenital skin. The female to male ratio is 10 1. Lichen sclerosus is more common in women over 60 years of age, but can occur at any age. Affected women complain of chronic vulvar pruritus, dysuria or dyspareunia that ...

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Dr. James L. Campbell Jr., MD, MS discusses Lichen planus Treatment. See more at www.dermnet.com PLEASE RATE AND COMMENT!!! There is no universally effective treatment for lichen planus. Topical and systemic corticosteroids are the mainstay of therapy. Prednisone for generalized skin or erosive mucosal involvement; a 4-week course starting at 1 mg and gradually decrease of the dosage. Group I or II topical steroids twice daily are used as initial topical treatment for localized disease ...

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Dr. James L. Campbell Jr., MD, MS discusses Nail Lichen Planus. See more at www.dermnet.com PLEASE RATE AND COMMENT!!! Nail changes may be present in the absence of skin findings. The usual presentation is proximal-to-distal linear depressions in the nail plate. Inflammation of the matrix results in adhesion of the proximal nail fold to the scarred matrix to form a pterygium.

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Dr. James L. Campbell Jr., MD, MS discusses Mucosal Lichen Planus. See more at www.dermnet.com PLEASE RATE AND COMMENT!!! Mucosal lichen planus may involve the oral or genital mucosa, or both. The most common form is the non-erosive with a white lacy pattern. The erosive form is painful with beefy desquamation. Oral lesions primarily involve the buccal mucosa and lateral edge of the tongue. This may extend to involve the mucosal lip, but rarely extends beyond the vermillion border ...

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Dr. James L. Campbell Jr., MD, MS discusses Cutaneous Lichen Planus. See more at www.dermnet.com PLEASE RATE AND COMMENT!!! Papular lichen planus is the most common form. Classic purple polygonal papules are located on the flexor surfaces of the wrists and forearms, the ankles and the lumbar region. Antibodies to hepatitis C are detected in about 16% of patients with cutaneous lichen planus Lesions that persist become thicker and dark red. These hypertrophic lesions are most often they are ...

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Dr. James L. Campbell Jr., MD, MS discusses Lichen Planus Introduction. See more at www.dermnet.com PLEASE RATE AND COMMENT!!! Lichen Planus is an uncommon, inflammatory papulosquamous disorder of unknown etiology. The skin, nails, hair and mucus membranes may be affected. Lichen planus is rare in children aged under 5 and more common in women than in men. 10% of patients have a positive family history. The clinical course of lichen planus is variable and unpredictable. Itching is variable ...

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Dr. James L. Campbell Jr., MD, MS discusses Pityriasis Rosea Treatment. See more at www.dermnet.com PLEASE RATE AND COMMENT!!! Pityriasis rosea is self-limited and usually asymptomatic. Treatment is indicated for itching. Mentholated lotions (Sarna) or sprays (Eucerin Anti-Itch) are helpful. Group V topical steroids and oral antihistamines provide some relief. Prednisone (20 mg twice a day) is rarely needed and only in extensive cases with itching that is refractory to topical therapy ...

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Dr. James L. Campbell Jr., MD, MS discusses Pityriasis Rosea Skin Findings and Clinical Course. See more at www.dermnet.com PLEASE RATE AND COMMENT!!! Early lesions are broad based papules that subsequently develop a thin collarette of scale as the center of the papule desquamates. Lesions are salmon-colored on Caucasian skin and dark- brown on African American skin. Lesions are usually confined to the trunk and proximal extremities, often concentrated on the lower abdomen. The long axis of ...

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