Re: Lichen Sclerosis
From: Andrew Folley (agfolley@hotmail.com)
Thu Dec 1 06:53:48 2005
Hank
Acid Mantle is an ointment that I was first exposed to oon the oncology
service years ago. It was for women with vesico vaginal fistulas with
contstant irritation of the skin form urine leaking etc. It acts as a
protective barrier etc. I think it is still available as a prescription.
It was similar to Zinc oxide or Desitin as I recall. andy
>From: Henry Gregor <henrygregor@yahoo.com>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: RE: Lichen Sclerosis
>Date: Wed, 30 Nov 2005 18:37:38 -0600
>
>Can you tell more about Acid Mantle ointment and its availablity?
>
> Thanks
>
> Hank
>
>Andrew Folley <agfolley@hotmail.com> wrote:
> You might have her try a protective ointment in the morning such as Acid
>Mantle ointmen to protect the skin during the day. Apply Clobetasol 0.05%
>at night for the next 4 weeks. I would still consider using the
>testosterone P. in petroatum after that that for the next 6 months to
>thicken the vuvlo perineal skin. Sometimes the old fashioned ways that do
>not have the approval of evidenced based medicine are still best.
>
> >From: Karen Lee
> >Reply-To: ob-gyn-l@obgyn.net
> >To: Multiple recipients of list OB-GYN-L
> >Subject: Lichen Sclerosis
> >Date: Wed, 30 Nov 2005 14:50:37 -0600
> >
> >Help...
> >All the literature that I have read states that
> >itching is the primary Sx of LS and that has been
> >my experience too. I have a patient with the
> >appearance of LS...pallor, thin tissue,
> >interlabial agglutination...but her only Sx is
> >pain when urine or water touches this area, which
> >in her case is perineum and perianal. Are most of
> >you using clobetasol? Anyone still using
> >testosterone proprianate in petrolatum? Do you
> >think one might be better than the other
> >considering her Sx? Bx report is not back, but
> >with 30 years of experience I'd bet my power exam
> >table it's LS.
> >
> >Karen Lee, ARNP
> >OB/GYN Nurse Practitioner
> >Certified Menopause Practitioner
> >Mount Vernon, WA
> >http://www.menopausematters.org
> >"Courage is the opposite of the instinct to keep
> >everything under control. It is against inertia
> >and death, toward intensity and life. The little
> >courages of life add up to big courage over time.
> >
> >Resist the offers of small safe quarters in your
> >mind."
> >
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