Lichen Striatus Treatment & Management

Updated: Jun 04, 2018
  • Author: June Kim, MD; Chief Editor: Dirk M Elston, MD  more...
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Treatment

Approach Considerations

Because lichen striatus is a self-limited disorder and because the lesions spontaneously regress within 3-12 months, no treatment is needed. The patient and family should be reassured. However, emollients and topical steroids may be used to treat associated dryness and pruritus, if present. [36] One report showed improvement with a combination of a topical retinoid and topical steroid. [37]

Photodynamic therapy using methyl aminolevulinic acid has been used for the treatment of lichen striatus. [38]

One study reported complete resolution in an adult with a short course of low-dose systemic corticosteroids [39] and another with a short course of acitretin. [40]

Tacrolimus and pimecrolimus have been successful in treating persistent and pruritic lesions on the face and extremities. [28, 41, 42, 43, 44] Tacrolimus has also been used successfully to treat nail abnormalities in lichen striatus. [25] Oral cyclosporine has also been used. [45]