Lichen Sclerosus Flashcards
1
Q
pathophysiology?
A
auto-immune condition
2
Q
symptoms?
A
- itching
- pain
- painful sex
- tight skin
3
Q
where can it affect?
A
changes affect labia, perianal and perineal skin
4
Q
skin appearance?
A
- porcelain-white
- shiny
- tight
- thin
- slightly raised
- papules/plaques
5
Q
complications?
A
- pain & discomfort
- bleeding
- narrowing of vaginal or urethral openings
- risk of developing vulval cancer (5%)
6
Q
Mx?
A
strong topical steroids (dermovate)
+ emollients
vulval biopsy if any suspicion
7
Q
how long are steroids continued for?
A
long-term
they also reduce risk of cancer developing
