CLINICAL DERMATOLOGY > OTHER DERMATOLOGICAL CONDITIONS
There are many diseases that can affect the skin and can compromise our health, beauty and/or quality of life. Fortunately, most have an effective treatment available that eliminate them completely or -if a definitive cure has not yet been found- there are a wide variety of treatments and mitigating measures to keep them under control and relieve the symptoms.
We will describe some of them below. However, our medical team is also prepared to deal with any of the other conditions not covered in this section. Simply contact us if you have any question or information request, or schedule an appointment where we will put our service and experience at your disposal.
What is lichen planus?
Lichen planus is a disease that manifests itself as an itchy rash on the epidermis or oral cavity. Its cause is unknown for now, however the possibility that it is related to an allergic or immune reaction is currently under study.
Its incidence is generally facilitated by the intake of medication, dyes, and other chemical substances that contain antibiotics, iodides, diuretics, gold, arsenic, etc. and by other diseases, such as hepatitis C.
Symptoms of lichen planus
Lichen planus can appear in the mouth or on the skin. In the mouth, it tends to manifest on the sides of the tongue, on the inside of the cheeks, or on the gingivae as pimples or white and bluish spots that become more painful as they grow. If these pimples or spots are not treated early, they can become ulcers and worsen the condition. If they appear on the skin, they generally do so on the inner side of the wrists and arms, or on the torso and genitalia. These lesions, which are deep red, tend to look flaky and shiny and at times they look as covered by a series of white lines or stretch marks. Like lichens in the mouth, they can lead to blisters or ulcers if they are not treated in a timely fashion. Lichen planus also causes dry mouth, a metallic taste, hair loss, and anomalies in the nails, such as ridges or edges.
Treatment for lichen planus
This condition does not tend to cause harmful damage. Proper treatment can alleviate symptoms and speed up healing: oral rinses, antihistamines, topical medications, compresses to protect from scratching, corticosteroid injections and, as a last resort, UV light treatment. Of course, if the pathology is linked to an allergy to any medication, its use must be stopped and substituted by another if the patient needs to continue treating another condition.
What is lichen sclerosus?
Lichen sclerosus is a chronic skin disease that especially appears in the genital and anal areas of the body, yet it can also develop on the breasts, torso, and arms. It affects women more than men, especially after the onset of menopause.
Although its cause has not yet been discovered, it is associated to hormone or immune problems. That said, it is important to point out that this disease is not contagious
Symptoms of lichen sclerosus
It tends to appear as small, smooth, and shiny white spots that grow and become rougher to the touch over time. The skin starts to become more fragile, which makes it more susceptible to wounds, bruises, and scars. Pruritus is another symptom that commonly develops, as well as discomfort and pain.
Treatment for lichen sclerosus
There are different ways of treating this pathology but, when the disease manifests in the genital area, it is necessary to treat it in a timely manner since this can cause serious problems, ranging from difficulty in urinating, preventing sexual relationships to causing severe pain. Surgery tends to be a good solution for men, since circumcision will be sufficient to take care of this problem. For women, on the other hand, creams and ointments with high cortisone contents are more effective. If this type of treatment does not work, other options include prescribing another type of ointment or resorting to photodynamic therapy.
What is poikiloderma?
Poikiloderma is a skin condition that tends to take place on the face and neck and, like lichen sclerosus, has a higher incidence in women than in men, especially after menopause.
Its cause is still unknown, yet its development is believed to be somehow connected to a hormonal factor as well as excessive sun exposure.
Symptoms of Poikiloderma
It evolves to form a telangiectasic erythema in the form of a network of capillaries with an atrophy in the centre.
Treatment for Poikiloderma
With regards to its resolution, treatments with lasers of varying lengths have been providing very good results, as well as the application of certain creams.
Diagnosis and treatment of dermatological pathologies in Valencia
• Dr. Gabriel Serrano Sanmiguel