For asymptomatic lichen planus, what is a commonly accepted treatment option?

In the case of asymptomatic lichen planus, a commonly accepted treatment option involves the use of corticosteroids. These medications are effective in reducing inflammation and alleviating symptoms associated with lichen planus, even when the condition presents without symptoms. While the lesions might not be bothersome, topical corticosteroids can help prevent potential future symptoms and complications, as well as promote healing of the affected areas.

Corticosteroids come in various forms, including topical ointments and creams that are applied directly to the lesions. They serve to decrease the immune response that contributes to the inflammation characteristic of lichen planus.

In scenarios where treatment is necessary, the use of corticosteroids is often a preferred first-line option due to their effectiveness and relatively favorable side effect profile. While it may be tempting to consider "no treatment necessary," especially in asymptomatic cases, monitoring and potential intervention can be crucial to manage the condition in case symptoms arise later. Other options like biopsy and phototherapy are typically reserved for specific circumstances, such as uncertain diagnosis or moderate-to-severe cases, rather than for asymptomatic lichen planus.