علاج التهاب الحشفة والقلفة في الحزاز التصلبي للحشفة والقلفة

References

DOI: 10.1111/jdv.18954

• An inflammatory scarring skin condition: although an autoimmune pathogenesis has been postulated, it may be due to chronic occluded contact with urine in the uncircumcised.
• Soap free washing, avoidance of contact with urine, for example by application of barrier preparations such as petroleum jelly, weight loss, removal of genital jewellery (1,D)
• Ultrapotent topical steroids (e.g. clobetasol proprionate) applied twice daily for a month then ceased and replaced with a barrier preparation.
• Ultrapotent topical steroids (e.g. clobetasol propionate 0.05% ointment or cream) (1-3/12 course) applied OD (or BD if a month's course is chosen) then reassess
• Although topical calcineurin inhibitors have been claimed to be efficacious (pimecrolimus applied twice daily, 2,A).