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Re: Treatment for lichen sclerosus et atrophicus From: Michael J. Chmielewski (mcobgyn@ix.netcom.com) Sat May 18 12:43:26 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Geffrey H Klein, MD: "Tubal Ligation Regret" Previous message: Roberta Speyer: "OBGYN.net" Maybe in reply to: DR A N MALPANI: "Treatment for lichen sclerosus et atrophicus" > "I have been reading about the number of people still using >Tesosterone cream and am very suprised. Dermatologists long ago >gave this up and are probably laughing at us. I think most gyn's >I talk with have switched to Temovate 0.05% ointment or cream up >to tid and when sx's gone to maintain on Valisone. > William Cely MD" > >I have had several patient's with biopsy proven lichen sclerosus >who were Temovate failures in that they experienced greater >symptomatic relief with 2% testosterone in Eucerin cream. > >I now mix and match to meet the patient's needs. > >The following seems to work: Temovate for initial Rx. Follow-up >with testosterone qod, biweekly, or PRN. > >John Hellriegel >jhellrie@ubmedd.buffalo. edu Steroids appear to the standard now for treating Lichen Sclerosis. Dr. Marilynne McKay at Emory recommends Clobetasole proprionate 0.05% (Temovate) B.I.D. for one month, then 1-3 weekly for maintenance as needed or using 1% hydrocortisone for maintenance. She suggests that the steroids are extremely effective in reversing the scarring process in early cases. Are the treatment 'failures' measured in hours, days, weeks, or months? Could a portion of these failures in fact be Steroid Rebound Dermatitis? \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\ Michael J. Chmielewski, M.D. List-Owner, GYN-DOCS{an e-mail discussion list for Gynecologists} Co-Owner, OBGYN-Imatics{a forum for Informaticians interested in OBGYN} 6150 Gibbon Building 111 South 11th Street <chmiele1@jeflin.tju.edu> Philadelphia, PA 19107 <mcobgyn@ix.netcom.com> 215- 955- 6060 ///////////////////////////////////////////////////////////////// Next message: Geffrey H Klein, MD: "Tubal Ligation Regret" Previous message: Roberta Speyer: "OBGYN.net" Maybe in reply to: DR A N MALPANI: "Treatment for lichen sclerosus et atrophicus"

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