The variety of changes that have been reported on immunofluorescent testing, and the response to steroid therapy suggests an immunological involvement. Fairly easily diagnosed on clinical grounds. Clinical findings can be confirmed by histological findings. No specific cure. Although, resolution seems to be helped by topical corticosteroids.
Intralesional triamcinolone is helpful for symptomatic cutaneous lesions.
Oral prednisone is effective for individuals with symptomatic pruritus, painful erosions, or cosmetic disfigurement. A short, tapered course is preferred. Helpful as an adjunctive measure in severe cases but usually requires additional topical treatment. Essentials of dermatology. Color atlas and synopsis of clinical dermatology.