Lichen Striatus Treatment & Management

Updated: Mar 26, 2020
  • 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. [40] One report showed improvement with a combination of a topical retinoid and topical steroid. [41]

Photodynamic therapy using methyl aminolevulinic acid has been used for the treatment of lichen striatus. [42]

One study reported complete resolution in an adult with a short course of low-dose systemic corticosteroids [43] and another with a short course of acitretin. [44]

Tacrolimus and pimecrolimus have been successful in treating persistent and pruritic lesions on the face and extremities. [30, 45, 46, 47, 48] Tacrolimus has also been used successfully to treat nail abnormalities in lichen striatus. [27] Oral cyclosporine has also been used. [49] One report described use of low-dose intralesional triamcinolone for nail lichen striatus, with complete resolution. [50]