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How do you treat PLC?

Published in PLC Treatment 1 min read

Treatment for Pityriasis Lichenoides Chronica (PLC) aims to manage symptoms and clear the skin lesions.

Here's a breakdown of common treatment approaches:

  • Managing Itch: Antihistamines can be used to reduce itching associated with PLC.

  • Phototherapy: According to the provided reference, phototherapy, usually narrowband UVB, is often the preferred treatment for pityriasis lichenoides chronica. This involves exposing the skin to controlled doses of ultraviolet (UV) light to help reduce inflammation and clear the lesions.

  • Immunosuppressants: For severe or treatment-resistant cases, immunosuppressant medications may be considered. The reference indicates that "methotrexate and other immunosuppressive agents may be considered for refractory or very severe cases."

Treatment Description Severity of PLC
Antihistamines Reduce itching. Mild
Narrowband UVB Phototherapy Preferred treatment option; involves controlled UV light exposure to reduce inflammation and clear lesions. Moderate
Immunosuppressants (e.g. Methotrexate) Considered for severe or treatment-resistant cases; helps to suppress the immune system to reduce inflammation. Severe

In summary, PLC treatment typically starts with phototherapy, and antihistamines can help with itch. More aggressive therapies like methotrexate may be required for severe cases.