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Suggest treatment for lichen amyloidosis

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Posted on Fri, 6 Jun 2014
Question: Treatment for lichen amyloidosis ?
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Answered by Dr. Dr. Kakkar (1 hour later)
Brief Answer:
Lichen Amyloidosis

Detailed Answer:
Hello and welcome to healthcaremagic

I am Dr. Kakkar. I have gone through your query. I have gone through the histopathology report/skin biopsy and also gone through your medical history.

Lichen amyloidosis is a chronic pruritic skin disorder characterized by brownish grey papules on extensors of arms and legs and rarely on trunk. Thioflavin -T positive amyloid deposits are found in the papillary dermis of the affected skin.

Many different treatment modalities have been tried depending on the severity and extent of involvement:

Topical treatment is usually the first line approach:

-Topical and intralesional steroids
-Tacrolimus ointment
-Topical Calcipotriene, Calcipotriol
-Topical Dimethylsulphoxide (DMSO)

Systemic treatments for widespread disease resistant to topical treatment:

-Cyclosporine
-PUVA (Photochemotherapy)
-Acitretin

Surgical treatment:

-Dermabrasion
-Laser


Your treatment history reveals that you are being treated with topical steroids(clonate) + emollients(dersil) and oral steroids(zempred) + oral antihistamines(alorti, teczine) for control of pruritus.

Your treating doctor would give you oral steroids for a few weeks (2-4 weeks) and then most likely would discontinue them and subsequently would continue you on just topical steroids+ emollients and oral antihistamines.

regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9628 Questions

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Suggest treatment for lichen amyloidosis

Brief Answer: Lichen Amyloidosis Detailed Answer: Hello and welcome to healthcaremagic I am Dr. Kakkar. I have gone through your query. I have gone through the histopathology report/skin biopsy and also gone through your medical history. Lichen amyloidosis is a chronic pruritic skin disorder characterized by brownish grey papules on extensors of arms and legs and rarely on trunk. Thioflavin -T positive amyloid deposits are found in the papillary dermis of the affected skin. Many different treatment modalities have been tried depending on the severity and extent of involvement: Topical treatment is usually the first line approach: -Topical and intralesional steroids -Tacrolimus ointment -Topical Calcipotriene, Calcipotriol -Topical Dimethylsulphoxide (DMSO) Systemic treatments for widespread disease resistant to topical treatment: -Cyclosporine -PUVA (Photochemotherapy) -Acitretin Surgical treatment: -Dermabrasion -Laser Your treatment history reveals that you are being treated with topical steroids(clonate) + emollients(dersil) and oral steroids(zempred) + oral antihistamines(alorti, teczine) for control of pruritus. Your treating doctor would give you oral steroids for a few weeks (2-4 weeks) and then most likely would discontinue them and subsequently would continue you on just topical steroids+ emollients and oral antihistamines. regards