Lichen Spinulosus Treatment & Management

Updated: Jun 15, 2022
  • Author: Christopher R Gorman, MD; Chief Editor: William D James, MD  more...
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Medical Care

No cure exists for lichen spinulosus, but some medications ameliorate its clinical manifestations. Because of the horny plug, keratolytics have been used as a treatment. These include salicylic acid, lactic acid, and/or urea in various creams, ointments, gels, and lotions. [11] The literature does not support the use of topical steroids in lichen spinulosus. The combination of tretinoin gel at bedtime with hydroactive adhesives the following morning has been reported to be efficacious. [12] . The successful use of topical tacalcitol cream was reported in 2 children with an atypical presentation of submental lichen spinulosus. [13]  Successful treatment with topical adapalene has been reported. [14]

Sahni et al noted that, in a case series of 35 patients with lichen spinulosus, 6% salicylic acid gel twice daily performed better as a treatment after 8 weeks compared to 0.1% triamcinolone cream twice daily. [2]