Thank you for your valuable question. As your biopsy reports revealed, you are having Lichen Planus Pigmentosus skin problem. This condition is autoimmune inflammatory skin condition in which dark pigmented spots gets developed mainly on the sun-exposed areas of the body like face, neck, hands. It can also occur in areas of friction on a body like in groins, in armpits etc.
It a chronic & relapsing skin condition which can get triggered by UV light, viral infection, hair dye, after some parlor treatments, some antihypertensive medications etc. Treatment of Lichen Planus Pigmentosus is individualized depending upon the stability of lesions. Stabilizing the progressive lesions is the mainstay of treatment. Progressive lesions can be stabilized with oral immunomodulators, topical creams. Finding out trigger is also important. These triggers should be avoided in order to avoid relapses. Strict photoprotection is advised as it also triggers the Lichen Planus Pigmentosus. Chemical peels can be done like Azelic peel, mild glycolic peel once stability of lesions is achieved. These treatments should be done under the supervision of the board-certified dermatologist.
Fractional q switched ND Yag lasers can be tried to reduce the level of pigmentation. It has shown results in some patients. Treatment of Lichen Planus Pigmentosus is very challenging & more promising results after treatment has not achieved yet. Treatment of Lichen Planus Pigmentosus is individualized, results after treatment may vary from patient to patient.
We advise you to consult a board-certified dermatologist nearby you, who will understand the grade of your problem & stability of lesions & according can guide you best as per your requirement & level of expectations.
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