Final answer:
The primary treatments for Lichen sclerosis et atrophicus (LSA) are topical corticosteroids to reduce inflammation, immunosuppressants for severe cases, moisturizers to alleviate skin dryness, and surgery for significant anatomical changes due to scarring.
Step-by-step explanation:
The treatment for Lichen sclerosis et atrophicus (LSA) typically involves a multi-faceted approach to alleviate symptoms and manage the condition. Topical corticosteroids are a common and effective treatment to reduce inflammation and skin symptoms. These medications help by suppressing the immune response locally, which decreases inflammation and itchiness. In more severe cases, immunosuppressants may be used to reduce the overall immune system activity. It is important to maintain the affected skin's moisture; therefore, the use of moisturizers is also recommended to prevent further irritation and drying.
In some cases, if LSA causes severe scarring or anatomical changes, especially in genital areas, surgery may be necessary. However, nonsurgical treatments are generally preferred and are the first line of defense in managing LSA symptoms. It's worth noting that while treatments like topical corticosteroids can manage the symptoms effectively, they do not cure the underlying cause of LSA.