Which treatment is commonly used for lichen sclerosus?

Study for the USMLE Step 2 CK Exam. Prepare with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

Lichen sclerosus is a chronic inflammatory skin condition that predominantly affects the genital and perianal regions. The first-line treatment for lichen sclerosus involves the use of potent topical steroids. These medications help to reduce inflammation, relieve symptoms such as itching and discomfort, and prevent progression of the disease.

Potent topical steroids work effectively to flatten and improve the appearance of the affected skin areas, ultimately leading to significant symptom relief and improved quality of life for patients. Regular follow-up is important to assess treatment response and ensure that the condition is being managed effectively.

Other treatments for lichen sclerosus, such as systemic immunosuppressants or phototherapy, may be considered in more severe, refractory cases or if there is a significant impact on the patient's life, but they are not first-line therapies. Oral antihistamines may provide symptomatic relief for itching but do not address the underlying inflammation caused by the lichen sclerosus. Thus, potent topical steroids remain the cornerstone of therapy for this condition.

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