Self-limiting disease, usually resolves within 8-12 months
First-line
Topical corticosteroid
High potency (e.g., trunk, extremities)
0.05% betamethasone dipropionate cream/ointment BID
0.05% diflorasone diacetate cream/ointment BID
Mid- or low-potency (e.g., intertriginous areas, facial skin)
Intralesional corticosteroids (hypertrophic<unk> 
2.5 to 10 mg/ml triamcinolone acetonide q4-6 weeks
Second-line therapy
For generalized disease or local corticosteroid-refractory disease
Oral glucocorticoids
Optimal dose/duration unknown
30 to 60 mg qd 4-6 weeks followed by 4-6 week taper
Phototherapy (e.g, Ultraviolet B, psoralen plus Ultraviolet A)
Oral acitretin
Topical corticosteroid
High potency (e.g., trunk, extremities)
0.05% betamethasone dipropionate cream/ointment BID
0.05% diflorasone diacetate cream/ointment BID
Mid- or low-potency (e.g., intertriginous areas, facial skin)
Intralesional corticosteroids (hypertrophic<unk> 
2.5 to 10 mg/ml triamcinolone acetonide q4-6 weeks
High potency (e.g., trunk, extremities)
0.05% betamethasone dipropionate cream/ointment BID
0.05% diflorasone diacetate cream/ointment BID
Mid- or low-potency (e.g., intertriginous areas, facial skin)
0.05% betamethasone dipropionate cream/ointment BID
0.05% diflorasone diacetate cream/ointment BID
2.5 to 10 mg/ml triamcinolone acetonide q4-6 weeks
For generalized disease or local corticosteroid-refractory disease
Oral glucocorticoids
Optimal dose/duration unknown
30 to 60 mg qd 4-6 weeks followed by 4-6 week taper
Phototherapy (e.g, Ultraviolet B, psoralen plus Ultraviolet A)
Oral acitretin
Oral glucocorticoids
Optimal dose/duration unknown
30 to 60 mg qd 4-6 weeks followed by 4-6 week taper
Phototherapy (e.g, Ultraviolet B, psoralen plus Ultraviolet A)
Oral acitretin
Optimal dose/duration unknown
30 to 60 mg qd 4-6 weeks followed by 4-6 week taper
Topical corticosteroids or topical calcineurin inhibitors
Topical corticosteroids or intralesional corticosteroids
Topical corticosteroids
Systemic or intralesional corticosteroids
Lichen planus
The differential diagnosis for lichen planus includes:
Lichen sclerosus
Chronic graft-versus-host disease
Tinea corporis
Psoriasis
Vitiligo
Atopic dermatitis