Lichen sclerosus, a skin disorder, can occur in children, men, and most often in women. In women, it occurs most frequently on the vulva (external genitalia). The affected area appears shiny and smooth. But as time elapses, the spots enlarge and the skin becomes crinkled. This subsequently may lead to tearing, discoloration, bleeding, and scarring. The involved area may also itch.
Though, dermatologists are not sure what the etiology is, an over-active immune sytem may play a role; other MDs feel lichen sclerosus may be secondary to a infectious bacteria (ie, spirochete) or an hormonal imbalance.
Treatment: Most patients do not require therapy, especially if the symptoms are mild. If therapy is entertained and you are a female, your gynecologist would be the one to seek counsel from. A male should seek medical care form an urologist. RBB, MD
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Sometimes no treatment is needed for certain cases of lichen sclerosus. If more severe, a strong cortisone or steroid creme can be used for several weeks. Surgery is also a treatment option.
You cannot die from it alone. It mostly just causes discomfort, bleeding and pain. It usually goes away or a treatment by the doctor will help. However, though Lichen sclerosus does not cause skin cancer, the skin that is scarred by lichen sclerosus is more likely to develop skin cancer. If you have the disease, see the doctor every 6 to 12 months. The doctor can look at and treat any changes in the skin.
The exact cause of lichen sclerosus is unknown, but it is thought to be related to an overactive immune system or hormonal imbalances. Genetics may also play a role, as the condition can run in families. Additionally, trauma or irritation to the affected area may contribute to its development.
Yes. Use daily for several weeks to stop the symptoms and then twice weekly for maintenance.
By Mayo Clinic staffLichen sclerosus (LI-kun skluh-RO-sus) is an uncommon condition that creates patchy, white skin that's thinner than normal. Lichen sclerosus may affect skin on any part of your body, but most often involves skin of the vulva or skin around the anus.Lichen sclerosus in genital areaWhen they do occur, lichen sclerosus symptoms may include:Itching (pruritus), which can be severeDiscomfort, which is generally greater if lichen sclerosus appears on or around your genital or anal areasSmooth white spots on your skin that may grow into blotchy, wrinkled patchesTenderness of the affected areas of your skinEasy bruising or tearingIn severe cases, bleeding, blistering or ulcerated lesionsPainful intercourseThe uncomfortable itching and scarring that accompanies severe lichen sclerosus may narrow the vaginal opening and affect the ability or desire to have sexual intercourse.If this sounds like what you have, you need to see a doctor, as there is no over the counter product that can take care of this. A gynecologist that specializes in pelvic( vaginal) reconstruction or a dermatologist(wouldn't be my first choice) is your best bet. I hope this helps you.
By Mayo Clinic staffLichen sclerosus (LI-kun skluh-RO-sus) is an uncommon condition that creates patchy, white skin that's thinner than normal. Lichen sclerosus may affect skin on any part of your body, but most often involves skin of the vulva or skin around the anus.Lichen sclerosus in genital area When they do occur, lichen sclerosus symptoms may include:Itching (pruritus), which can be severeDiscomfort, which is generally greater if lichen sclerosus appears on or around your genital or anal areasSmooth white spots on your skin that may grow into blotchy, wrinkled patchesTenderness of the affected areas of your skinEasy bruising or tearingIn severe cases, bleeding, blistering or ulcerated lesionsPainful intercourseThe uncomfortable itching and scarring that accompanies severe lichen sclerosus may narrow the vaginal opening and affect the ability or desire to have sexual intercourse.If this sounds like what you have, you need to see a doctor, as there is no over the counter product that can take care of this. A gynecologist that specializes in pelvic( vaginal) reconstruction or a dermatologist(wouldn't be my first choice) is your best bet. I hope this helps you.
Lichen sclerosus et atrophicus is a chronic inflammatory skin condition that typically affects the genital area. It is characterized by white patches, itching, and discomfort. It can occur in both men and women but is more common in women, especially postmenopausal women.
Discoloration in the vulva can be caused by various factors such as hormonal changes, infections, skin conditions like lichen sclerosus, or trauma. It's essential to consult a healthcare provider to determine the underlying cause and appropriate treatment.
See your health care provider and ask about other vulvar skin conditions, like vulvar lichen sclerosus, that can cause chronic itching. Most women with lichen sclerosus go undiagnosed for years because the itching or pain can be severe with no obvious skin changes in the early stages. If your gyncological health care provider is not comfortable with vulvar biopsy and diagnosis of vulvar conditions, ask for a referral to a specialist.
Although there is no definitive cure and relapses are always possible, many things are used to try to treat the symptoms of this disease. Most commonly, topical or oral steroids (or even an injection into the site, depending where the lesions are and how severe they are) or antihistamines are used. Sometimes other medications, such as retinoid-based drugs (such as Accutane) are tried. For severe cases, immunosuppresants (drugs that lower the body's natural immune response) such as cyclosporine can be tried. One key is to try to reduce or eliminate stress since flare-ups seem to occur or be worse during stressful times. The main thing is to keep following up with a physician since each person is different and treatments need to be geared to individuals. Hope this helps! Dr. B.
Clobetasol is a potent topical corticosteroid used in gynecology primarily to treat inflammatory skin conditions, such as vulvar lichen sclerosus and lichen planus. It helps reduce inflammation, itching, and discomfort associated with these conditions. Clobetasol is typically applied directly to the affected area to manage symptoms and improve skin health. However, it should be used under the guidance of a healthcare provider due to its strength and potential side effects.