![]() ![]() ![]() Please seek your doctor's advice before using this medication if you are pregnant or breastfeeding.īurning, itching, irritation, scaling or dryness of the skin at application site. There is limited experience with the use of Triamcinolone acetonide during pregnancy. This medication should not be used by any children or adolescents below 18 years old unless prescribed by a doctor. This cream/ointment/gel/topical solution should be avoided if you have a known history of allergy to Triamcinolone acetonide or any of the other listed ingredients in the product. Side Effects, Precautions, Contraindication Before you use this medication Do not share the product with others even if they have similar signs and symptoms. You should consult a doctor if your condition has not resolved by 2 weeks. If the product comes into contact with any of these areas, rinse it off immediately with plenty of water.ĭuration of use varies and you should discontinue use once your skin condition has resolved. Wash your hands thoroughly after using the product and avoid contact with the eyes, mouth or nostrils. Do not apply onto the face/eyelid unless your doctor has told you to do so. Do not cover the treated area with a bandage or dressing unless your doctor has told you to do so. Wash and dry the whole area to be treated before applying the cream/ointment/gel/topical solution.ĭo not use the cream/ointment/gel/topical solution on skin areas that have cuts or scrapes, or skin areas that are infected. Avoid using excessive amounts of this product or applying it on large areas of skin. The amount of cream/ointment/gel/topical solution you should use depends on the size of the affected area. Triamcinolone acetonide should be applied as a thin layer to the affected area twice a day by gently rubbing the cream/ointment/gel/topical solution onto the skin. It belongs to a group of medications called corticosteroids and has anti-inflammatory and anti-itching actions. Erosive/ulcerative lichen planus lesions develop within oral lesions or start as waxy semitranslucent plaques on the soles.Triamcinolone acetonide is used for the treatment of redness, swelling and itching that is associated with skin or scalp ailments such as dermatitis or eczema. In vesiculobullous lichen planus ( Figure 7), vesicles or bullae develop from preexisting lesions on the lower limbs, back, or buttocks, or in the mouth. 7 It is often chronic with residual scarring and pigmentation when lesions clear. Hypertrophic lichen planus (lichen planus verrucosus Figure 6) usually occurs on the extremities, especially the ankles, shins, and interphalangeal joints, and it tends to be the most pruritic form. 7 Atrophic lichen planus ( Figure 5) is a rare form that is characterized by a few well-demarcated white, pink, or bluish papules, patches, or plaques with superficial atrophy. In addition to the usual sites of distribution, this form of lichen planus may occur on male genitalia and buccal mucosa. 7 It commonly appears as arcuate groupings of individual papules that develop rings or a peripheral extension of clustered papules with central clearing. Annular lichen planus ( Figure 4) accounts for approximately 10 percent of lichen planus cases. Linear lichen planus ( Figure 3) manifests as closely aggregated linear lesions on the limbs that may develop the Koebner phenomenon. However, lichen planus on mucous membranes may be more persistent and resistant to treatment.Ĭutaneous lichen planus may present in different forms. Lichen planus may resolve spontaneously within one to two years, although recurrences are common. Referral to a dermatologist for systemic therapy with acitretin (an expensive and toxic oral retinoid) or an oral immunosuppressant should be considered for patients with severe lichen planus that does not respond to topical treatment. Systemic corticosteroids should be considered for severe, widespread lichen planus involving oral, cutaneous, or genital sites. Topical corticosteroids are also first-line therapy for mucosal erosive lichen planus. In addition to clobetasol, topical tacrolimus appears to be an effective treatment for vulvovaginal lichen planus. High-potency topical corticosteroids are first-line therapy for all forms of lichen planus, including cutaneous, genital, and mucosal erosive lesions. Classic cases of lichen planus may be diagnosed clinically, but a 4-mm punch biopsy is often helpful and is required for more atypical cases. The lesions are often covered by lacy, reticular, white lines known as Wickham striae. Onset is usually acute, affecting the flexor surfaces of the wrists, forearms, and legs. Lichen planus lesions are described using the six P's (planar, purple, polygonal, pruritic, papules, plaques). Lichen planus is a chronic, inflammatory, autoimmune disease that affects the skin, oral mucosa, genital mucosa, scalp, and nails. ![]()
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