I'm dealing with lichen planus pigmentosus on my underarms and inner thighs and it's starting to spread. I'm really concerned about how to actually address these marks and what the best treatment options are for lichen planus. Can you help me understand how I can stop it from spreading and get rid of these brown marks?
Lichen planus pigmentosus (LPP) can be challenging to treat, but various options are available.
_Treatment Options_
1. _Topical corticosteroids_: Reduce inflammation and slow down the spread.
2. _Topical retinoids_: Help reduce pigmentation and prevent further darkening.
3. _Hydroquinone creams_: Fade brown marks and hyperpigmentation.
4. _Chemical peels_: Exfoliate the skin, reducing pigmentation.
5. _Laser therapy_: Targeted treatment to reduce pigmentation and inflammation.
_Preventing Spreading_
1. _Avoid scratching_: Scratching can cause further inflammation and spreading.
2. _Keep the area moisturized_: Dry skin can exacerbate LPP.
3. _Avoid irritants_: Steer clear of harsh soaps, detergents, and fragrances.
_Fading Brown Marks_
1. _Sun protection_: Avoid prolonged sun exposure, and use sunscreen with at least SPF 30.
2. _Skin-lightening creams_: Containing ingredients like hydroquinone, kojic acid, or azelaic acid.
3. _Chemical peels and laser therapy_: Can help reduce pigmentations