Anogenital lichen sclerosus
How to cite this article: Devi SL, Akham R. Anogenital lichen sclerosus. CosmoDerma 2022;2:76.
A 51-year-old female presented with 6-month history of ivory-white atrophic confluent plaques distributed around the vulval and perianal skin in a figure of eight appearance [Figure 1], associated with intractable pruritus and dysuria, for 1 year. Based on the history and clinical findings, a diagnosis of anogenital lichen sclerosus was made. The patient was started with topical clobetasol propionate 0.05% ointment once daily application. The patient showed symptomatic improvement at 2-week follow-up.
Lichen sclerosus, also known as lichen sclerosus et atrophicus, is a chronic inflammatory skin disease, commonly involves the anogenital skin, and associated with an increased risk of scarring and genital cancer. Lichen sclerosus is more of a clinical diagnosis. Rarely, it may progress to squamous cell carcinoma approximately in 3–6% females and 2–8% males. It generally shows a good response to high-potency topical steroids.
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