Lichen sclerosus is a chronic muco - cutaneous rabble-rousing disorder affecting the hide and the venereal region . It result to thinning along with wrinkles and white patches on the skin . It can occur in both male and females , but is about 10 times more rife in female . It mostly affects the pre - pubertal and postmenopausal women .
What Cream Do You Use For Lichen Sclerosus?
Diagnosis of lichen sclerosus is made on the footing of exhaustive history and physical examination . A skin testing of the touched body parts gives an idea about the type of lesion present . A biopsy will sustain the diagnosis of lichen sclerosus lesion . The other trial to rule out standardized skin condition should also be done for effectively treating the disease . The other conditions , which can get similar skin wound , includevitiligo , lichen planus , pemphigoidand blue oestrogen levels . All these conditions usually co - subsist with lichen sclerosus .
The mainstay of treatment remains topical steroids , which soothe the itch and inflammation . Cortisone is widely used for tegument stipulation such as dermatitis , psoriasis , lichen sclerosus and lichen planus . However , the right strength and the part of the peel to be treated should be kept in mind with steroid hormone topical practical app . The program should be stopped once the hide has recovered to its normal body politic because its overdose can lead to thinning of skin making the skin fragile so it shoot down easy , and can lead to red and burning sensation along with stretch marks around the anal region .
The creams usually used are desonide , clobetasone butyrate , methylprednisolone aceponate , mometasone furoate , betamethasone diproprionate , and clobetasol proprionate . These ointments are readily available over the counter even without prescription . The other cortisones such as betamethasone valerate and Aristocort are not worthy to be used on vulva because they can cause unwanted side effect .
The foresightful - full term management for lichen sclerosus include regular visit to a doctor and using the unguent under their guidance until the precondition is net and restored to its natural state . If a sure cream has stopped for you then you may consult your Dr. and another medicine can be prescribed . It is generally advised to use these emollient under the guidance of a aesculapian practician only , due to the side effects they create when used for a lengthy period of time .
The other treatment options for lichen sclerosus include cryotherapy of the affected genital lesions ; narrow isthmus UVB , psoralen plus UVA ( PUVA ) , and photodynamic therapy using a photosensitizer with optical maser light energizing have been beneficial in many cases where other method acting have fail .
Signs and Symptoms of Lichen Sclerosus
The etiology of lichen sclerosus is not known , but it thought to be an autoimmune disorderliness that is genetically inclined where the body ’s defence chemical mechanism attacks its own skin cells . It is also thought to be aggravated by trauma , infections , hormonal and hide change . It is not contagious therefore can not be passed onto others by contact .
hide lesion because of lichen sclerosus are compressed , shining , whitish , stiff papules that lead to plaque organization . The pelt lesions are ordinarily seen in the neck region and trunk . They are symptomless but in some lawsuit pruritis or itchiness may happen .
Lichen sclerosus affecting the anorectal region resolution in wound in the vulva that are ivory or white flat lesions with intense itching , which go to wearing away and purpura . In men the foreskin and glans are affected that causes difficulty in resile the foreskin ( phimosis ) . This can cause dyspareunia ( painful sexual intercourse ) , dysuria and sore defecation .
Oral wound of lichen sclerosus are rarified and may or may not be associated with genital lesions . The oral mucosal lesion are very rarefied and seem white , flat demarcated lesions interchangeable to the ones in the vulva but dissent from that of lichen planus . The most stirred intraoral sites are buccal , labial and palatal mucosal regions .
The other sites pretend by lichen sclerosus are the thighs , breast , submammary neighborhood , neck opening , back , chest , shoulders and carpus , but the lesion present here usually stay symptomless .
Also Read :
