Actinic Prurigo treatment

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Instructions

  • Sunlight avoidance: environmental, clothing, sunscreen

Medical treatment

  • Potent topical corticosteroids
  • Topical tacrolimus
  • Thalidomide :50–100 mg nightly administered for several weeks until remission is achieved and then tapered to as low a maintenance dose as possible (e.g. 50 mg every second or third night).
  • β‐carotene.
  • Pentoxifylline.
  • Tetracycline and vitamin E.
  • Oral corticosteroids.
  • Azathioprine.
  • Topical ciclosporin
  • Choloroquine : 250 to 500 mg/day for 3 to 5 weeks
  • Hyroxychloroquine : 200 to 400 mg/day for 3 to 5 weeks.

Physical treatment

  • Narrow‐band UVB phototherapy
  • Psoralen–UVA photochemotherapy

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