Patients with lichen planus are sometimes tense and nervous, and episodes of dermatitis may be temporarily related to emotional crises. Measures to relieve anxiety are helpful. Topical corticosteroids are often useful. Topical tretinoin cream 0.05% applied to mucosal lichen planus followed by topical corticosteroid cream may be beneficial.
In severe cases, oral corticosteroids may be prescribed. Psoralens plus long-wave ultraviolet light (PUVA) can be effective for chronic lichen planus.
Best.
Thanks for the reply! Will the PUVA help w the "spots" or will the skin go back to its normal color. I am just left with the marks, no dry itchy patches for a long time now.....