Lichen sclerosus

Lichen sclerosus is an autoimmune inflammatory condition characterized by white papules and plaques, often associated with areas of ecchymosis

The commonest location for plaques is the genitalia.

Lichen sclerosus may be asymptomatic or present with an itch

The peak age for presentation is bimodal - prepubertal and over the age of 50.

Possible complications include scarring and rarely transformation to squamous cell carcinoma. 

Management is with topical corticosteroid or surgery in the case of scarring or malignant change. 

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