• Alopecia
• Acniform eruptions
• Benign tumors
• Bullous diseases
• Dermoscopy
• Nevi, melanoma
• Nonmelanoma cancer
• Psoriasis and others
• Stds
• Vascular tumors
• Vulvar disease

• Psoriasis
• Psoriasis Introduction
• Psoriasis Approach to the Patient
• Chronic Plaque Psoriasis
• Guttate Psoriasis
• Localized Pustular Psoriasis
• Inverse Psoriasis
• Generalized Pustular Psoriasis
• Nail Psoriasis
• Psoriasis Treatment Topical Therapy
• Psoriasis Treatment Phototherapy
• Psoriasis Treatment Systemic Therapy
• Psoriasis Biologic Therapy
• Seborrheic dermatitis
• Seborrheic Dermatitis Introduction
• Seborrheic Dermatitis in Adults
• Seborrheic Dermatitis in Infants
• Seborrheic Dermatitis Treatment and Dandruff Treatment
• Pityriasis rosea
• Pityriasis Rosea Introduction
• Pityriasis Rosea Skin Findings and Clinical Course
• Pityriasis Rosea Treatment
• Lichen planus
• Lichen Planus Introduction
• Cutaneous Lichen Planus
• Mucosal Lichen Planus
• Nail Lichen Planus
• Lichen planus Treatment
• Lichen sclerosus
• Lichen Sclerosus Introduction
• Lichen sclerosis Skin Findings
• Lichen Sclerosus Mucosal Findings
• Lichen Sclerosus Treatment

Lichen Sclerosus Treatment

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 lesions. Clobetasol propionate 0.05% (is effective for vaginal and penile disease in adults. Intralesional triamcinolone is useful for unresponsive areas.

Tacrolimus ointment (Protopic) 0.1% may be of help in treating vaginal or penile disease.

Testosterone propionate 2% ointment has been used for years. Many experts now doubt its effectiveness. Topical 5-fluorouracil with carbon dioxide laser has been used for penile lesions with some success.

Acitretin (20 to 30 mg/day for 16 weeks) may be considered in severe cases. Selected refractory medical cases may benefit from surgical reconstruction of scarred areas.