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Once control is gained reduce to twice weekly maintenance, increasing for flares An alternative are the topical calcineurin inhibitors - pimecrolimus cream appears more effective than tacrolimus ointment Intralesional corticosteroids are used very occasionally for resistant cases, although there is a greater risk of atrophy Second-line treatment - antimalarial therapy (used in combination with the above) Hydroxychloroquine (HCQ) - 200400 mg daily

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Immunohistochemical kits were obtained from Boster Biological Technology Co., Ltd

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