Lichen Sclerosus

Question 1

what is lichens sclerosus?

Answer 1

1. Benign
2. chronic & progressive dermatologic condition characterized by marked
   *inflammation
   *epithelial thinning
   *distinctive dermal changes accompanied by symptoms of pruritus and pain

Question 2

what are symptoms of lichens sclerosus?

Answer 2

1. chronic vulvar itching (common)
2. vulva is: thin
3. whitish epithelial areas, onion skin, cigarette paper, parchment-like
4. bilateral
5. obliteration of landmarks

Question 3

Does LS involve the vagina?

Answer 3

No

Question 4

how is lichen sclerosus treated?

Answer 4

topical steroids
1. clobetasol propionate
2. mometasone furoate, wean patients down
(no high dose steroids because it can thin tissue)

Question 5

T/F. using steroids will completely resolve lichen sclerosus.

Answer 5

F
-scarring is permanent

Question 6

lichen sclerosus has an increased risk of?

Answer 6

SCC of vulva