Atrophy of clitoris with lichen sclerosis

It typically manifests as atrophic white plaques, which may be accompanied by purpura or fissuring. Rarely, LS has been observed to affect mucosal tissues in the mouth and the penile urethra. It is generally taught that LS does not affect the vagina, unlike lichen planus. To our knowledge, only one case report of LS with vaginal involvement exists in the literature. Both cases exhibited characteristic features of LS on vaginal biopsy, and both patients were followed up clinically without further treatment of the vagina. Patients with more severe disease or with significant vaginal atrophy may be more likely to have involvement of the vagina.
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Vulvovaginal Disorders: Lichen Sclerosus

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Vulvovaginal Disorders: Lichen Sclerosus - Cancer Therapy Advisor

Vulvar lichen sclerosus VLS is a chronic inflammatory dermatosis characterized by ivory-white plaques or patches with glistening surface commonly affecting the vulva and anus. Common symptoms are irritation, soreness, dyspareunia, dysuria, and urinary or fecal incontinence. Anogenital lichen sclerosus LS is characterized by porcelain-white atrophic plaques, which may become confluent extending around the vulval and perianal skin in a figure of eight configuration. Thinning and shrinkage of the genital area make coitus, urination, and defecation painful. LS is not uncommon in India and present as an itchy vulvar dermatosis which a gynecologist may mistake for candidal vulvovaginitis. There is often a delay in diagnosis of VLS due to its asymptomatic nature and lack of awareness in patients as well as physicians. Embarrassment of patients due to private nature of the disease and failure to examine the genital skin properly are the other reasons for delay in diagnosis.
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Lichen sclerosus

DermNet provides Google Translate, a free machine translation service. Note that this may not provide an exact translation in all languages. Updated January Lichen sclerosus is a common chronic skin disorder that most often affects genital and perianal areas.
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Lichen sclerosus is a chronic disorder of the skin, most commonly seen on the vulva. Typical lesions of lichen sclerosus are porcelain-white papules and plaques, often seen in conjunction with areas of ecchymosis or purpura. Although the genital mucosa is spared, lesions at the mucocutaneous junction can lead to introital narrowing.
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