Lichen planus (LP) is a disturbing pruritic cutaneous disease that
may have an spontaneous resolution or exhibit a more chronic course during some
weeks or months. OBJECTIVE: Our objective was to demonstrate that sulfasalazine
is effective in the treatment of LP. METHODS: Twenty patients were diagnosed in
our department with LP of the skin and/or mucosa between 1985 and 2001 on the
basis of clinical and histologic findings. RESULTS: All patients were treated
with sulfasalzine at initial doses of 1.5 g/day, increasing by 0.5 g/week to 3
g/day for 4-16 weeks. Some patients also received descendent doses for 2-12
months. Complete responses were observed in 13 patients and partial responses in
seven patients. All patients reported an early resolution of the pruritus. No
changes were detected in mucosal LP. Most of the patients tolerated the treatment
well and only eight patients presented some minor side-effects. CONCLUSION:
Sulfasalazine is a successful therapeutic option for cutaneous LP, constituting
an alternative to corticosteroids and retinoid
