Fractional carbon dioxide laser in combination with topical corticosteroid: An innovative treatment for hypertrophic lichen planus

Hypertrophic lichen planus (HLP) is a treatment-resistant variant of lichen planus.1 No treatment option has been found to be universally effective in HLP. Intralesional injections of triamcinolone acetonide have been found to be effective, but the treatment is associated with significant pain. We describe the novel use of fractional CO2 laser–assisted corticosteroid delivery into treatment-resistant HLP, leading to complete resolution of the lesions.

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