Медицински третмани за лицхен планус

Медицински третмани за лицхен планус

1 / Равни кожни лишајеви

The objective of the treatment of cutaneous forms is to shorten the healing time and decrease itching.

The first-line treatment prescribed by the doctor most often combines local corticosteroid therapy (strong or very strong class corticosteroids) to treatment by moisturizer, even antihistamines in case of strong itching.

If there is no improvement, the doctor may prescribe a oral corticosteroid therapy, or even acitretin (Soriatane®), which is a derivative of vitamin A

La фототерапија (UVB or PUVAtherapy, delivered in the cabin at the doctor’s office) may also be a treatment offered in the skin involvement

2 / Mucosal involvement

2.А/ Лихен план букални

2.Аа / Мрежасти букални лихен планус

The crosslinked lesions being asymptomatic and therefore not very troublesome for the patient, they are therefore generally not treated.

2.Ab / Erosive and atrophic oral lichen planus

Генерално се препоручује даavoid any oral irritants (tobacco, alcohol, etc.)

The doctor often prescribes local corticosteroids (Buccobet®) или чак а tretinoin cream (Ketrel®, Locacid®, Effederm®…).

In the absence of improvement or in severe forms from the outset, the doctor may prescribe орални кортикостероиди.

2.Б / Генитални лицхен планус

The doctor most often uses very strong class corticosteroids which generally give good results.

3. Фанерално захваћеност (коса, нокти, коса)

3.А / Лихен планус косе: фоликуларни лихен планус

The doctor uses strong class topical corticosteroids.

3.Б / Лицхен планус косе: лицхен планус пиларис

The doctor uses strong class corticosteroids alone or in combination with corticosteroid injections into the scalp. In the event of resistance to treatment, he then resorts to oral corticosteroids, or even acitretin (Soriatane®), which is a derivative of vitamin A

3.Ц / Лицхен планус на ноктима: лицхен планус ноктију

Since the nails can disappear under the effect of lichen planus, the doctor usually prescribes oral corticosteroids, sometimes combined with corticosteroid injections in the nail matrix (the base of the nail).

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