Lichen sclerosus et atrophicus in children.
نویسندگان
چکیده
The symptoms, findings, associated conditions, and treatment of lichen sclerosus et atrophicus were studied in 10 girls and one boy. Lichen sclerosus et atrophicus is a benign but chronic condition of the anogenital area of girls and, less frequently, of boys. The characteristic lesions are hypo-pigmented plaques in a figure-of-8 pattern surrounding the vulva and anus and often involving the natal cleft. The affected hypopigmented skin is sharply demarcated from the normal skin. Hemorrhagic, bullous lesions are uncommon. Fissures and ulcers are seen on the labia, between the labia, and on the perineum, anus, and natal cleft in many children and on the glans penis in boys. Lichen sclerosus et atrophicus causes painful defecation and anal and vulval bleeding. In two patients, one girl and one boy, anal stenosis due to lichen sclerosus et atrophicus and laxative treatment developed. Lichen sclerosus et atrophicus mimics sexual abuse and has led to false accusation and investigations. The anogenital lesions cleared in three patients at the ages of 9, 11, and 12 years, but lesions can persist into adulthood.
منابع مشابه
Association of Porokeratosis, Vitiligo, Lichen Sclerosus et Atrophicus and Lichen Planus: A case report
Although lichen planus and vitiligo are common skin disorders, their association with two other uncommon diseases, i.e. lichen sclerosus et atrophicus and disseminated superficial actinic porokeratosis, seems to be a very rare occurrence. We report herein a 70-year-old man who developed all of these four skin disorders simultaneously.
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Malignant change developing in lichen sclerosus et atrophicus is rare in men. A case is described in a 39-year-old man.
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Lichen sclerosus et atrophicus is a skin disease of multifactorial etiology which appears in patients with genetic or hormonal predisposition and autoimmune disease. Genetic predisposition is suggested by familial reports of the disease which involve twins, siblings, and mother-daughter/son series. This is a report of the occurrence of lichen sclerosus et atrophicus in monozygotic twin women, s...
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Lichen sclerosus et atrophicus was first described by Hallopeau (1887), who regarded it as a variant of lichen planus. Ormsby (1910), however, considered it to be a separate disease entity. Stuhmer (1928) used the term "balanitis xerotica obliterans" to describe a case in which there was progressive sclerosis and atrophy of the glans penis and preputial remains following an operation for congen...
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ورودعنوان ژورنال:
- A.M.A. archives of dermatology
دوره 75 5 شماره
صفحات -
تاریخ انتشار 1957