What is included in medical care for pityriasis lichenoides?

Updated: Sep 11, 2020
  • Author: Jeffrey P Callen, MD; Chief Editor: Dirk M Elston, MD  more...
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Answer

Large ulcerations found in the febrile ulceronecrotic variant of pityriasis lichenoides et varioliformis acuta (PLEVA) require local wound care. [35] Infected lesions may be treated with topical mupirocin and sterile dressing changes twice daily.

No randomized controlled trials of the use of medications have been performed in Mucha-Habermann disease. Since the disease tends towards self-resolution, evaluation of treatments without adequate controls cannot result in useful recommendations. A number of open trials have reported success with light therapy and oral medications. [36] Phototherapy is generally the most effective approach, with methotrexate reserved for severe or refractory disease. [37, 38, 39, 40, 41]


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