Treatment: Treatment consists of proper assessment of the patient and how the disease is affecting the patient’s life in general. Some individuals tolerate the condition without adverse psychological effects; for them, the best treatment is a watch-and-wait approach. Others with mild disease may have severe self-esteem issues and should be offered therapy. However, no therapy has been shown to be uniformly effective, and most have only anecdotal reports of efficacy. Topical retinoids and corticosteroids are used, as well as intralesional steroid injections if the areas are small enough. Contact sensitization with squaric acid has had equivocal results. Oral steroids should be avoided, because the long-term side effects do not warrant their use.