08-06-2006, 04:34 AM
wat do we give testosterone 2% or corticoisteroid creem? plz tell some one plzzzzzzzzzzzzzzzzzzzz............
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lichen sclerosis - syedusa
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08-06-2006, 04:44 AM
Depends who you are treating; found this on emedicine:
"Topical testosterone was mainstay of treatment for female genital LS for decades, although it was never shown useful in male genital or extragenital cases. Recent studies suggest it may not be any more efficacious than placebo. Systemic therapies, including anti-Borrelia antibiotics, potassium benzoate, penicillamine, and systemic steroids, have not proven effective. Systemic retinoids have been useful in limited studies with isotretinoin, etretinate, and acitretin. Topical corticosteroids, especially in the superpotent class, have been found to be useful in genital LS in both sexes and in all age groups." So if given a choice, I would put clobestasol (a steroid)
08-06-2006, 05:03 AM
I just happened to do a question the other day in usmle world and the question was asking for the treatment of LS...the correct answer was superpotent corticosteroid....testosterone waas one of the choices.
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