Lichen Spinulosus Treatment & Management

Updated: Aug 14, 2017
  • 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. [9] 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. [10] . The successful use of topical tacalcitol cream was reported in two children with an atypical presentation of submental lichen spinulosus. [11]  Successful treatment with topical adapalene has been reported. [12]



Consultation with an experienced dermatologist is indicated if any doubt exists concerning the diagnosis.