However, unlike molluscum, lichen nitidus does not involve umbilication, and lesions have a smooth surface. Both lichen planus and lichen nitidus respond well to low-potency corticosteroid creams. These conditions tend to resolve spontaneously over 1 to 2 years. Lichen sclerosus Lichen sclerosus is a progressive sclerosing dermatosis of unknown origin. The eruption tends to fissure, and adhesion may develop.
Skin biopsy is necessary to make the diagnosis.
In the past, testosterone creams were used for treatment. However, clinical studies have not validated their use. The development of squamous cell carcinoma has occasionally been reported. These patients need to be under the care of an expert in genital dermatology. However, unlike lichen sclerosus, no atrophy is present.