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The most common treatment for symptomatic lichen planus is corticosteroids. This choice is favored due to the anti-inflammatory properties of corticosteroids, which help to alleviate the inflammation and itchiness associated with the condition. Lichen planus is characterized by an immune-mediated inflammation of the skin and mucous membranes, and corticosteroids directly address the inflammatory process.

Corticosteroids can be administered in various forms, including topical creams for localized lesions, or systemic forms for more severe cases. The aim is to reduce symptoms effectively and promote healing in affected areas. This treatment approach is supported by clinical evidence and widely accepted in dermatology practice for managing lichen planus.

Other treatments, while relevant in different contexts, do not address the underlying inflammation as effectively as corticosteroids do in this particular condition.