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Diagnosis and treatment

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Differential diagnosis includes psoriasis, mycosis fungoides, lichen planus and lichen amyloidosis (1).

A biopsy may be necessary to confirm the diagnosis.

The inflammation may be reduced by topical steroids; the itching by antihistamines by mouth. Tar or ichthyol - containing preparations may be used for their antipruritic and keratolytic effects; occlusive dressings, to prevent scratching.

Intralesional steroids such as triamcinolone are often effective. Topical tacrolimus has also proven to be effective (1).

Patients should be advised to stop rubbing and scratching the areas involved, and the itch-scratch cycle should be broken.

Amitriptyline and SSRI have given good results in controlling the subconscious scratching in the disease of anogenital region (2).

Reference:


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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