LICHEN SCLEROSIS ET ATROPHICUS
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Colleagues, a recent response to the compounding ideas included
Testosterone in Petrolatum for LS&A. I have never seen a treatment failure
with Temovate used over a 6-8 week period, gradually decreasing dosing to
once a week by the end of treatment. Besides avoiding the angrogenic side
effects , the itch appears to be relieved almost immediately, and the
clinical response and clearing is quite a bit faster, especially since
Testosterone success rates are not really that good to begin with.  

Diane Thaler MD
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I  would agree with Dr. Thaler. While I have little experience with LS&A,
most pts I have seen on testosterone were tx by Ob/Gyn. As an anecdote, I
had a patient 3 weeks ago with symptomatic polycythemia secondary to
vaginal testosterone for LS&A. Her testosterone levels were _very_ high,
she was shaving facial hair etc. She did well with topical steroid.

David J. Altman, MD, PhD
Dermatology Branch, NCI, NIH
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I agree completely that Temovate is the best Rx for LS et A - works well on
the glans penis and on other parts of the body too.

KC Smith MD FRCPC
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