Salicylic acid gel and urea containing lotions also have been reported to help soften the horny papules. Gentle abrasion with a pad, soft brush or loufa pad can be tried to remove the horny spines. Interactions None reported Pregnancy B - Usually safe but benefits must outweigh the risks. Lichen spinulosus is confined to the skin and has no known associations with internal disorders or genetic syndromes. Lichen spinulosus can be ameliorated with emollient keratolytics.
Case reports suggest that cure is the result of spontaneous remission over time.
Most cases seem to remit in a year or two. However, there are well-documented cases lasting for decades. Clinicopathologic review of thirty-five cases. Medicine is a constantly changing science and not all therapies are clearly established. New research changes drug and treatment therapies daily.