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Lichen Sclerosus

Chronic inflammatory dermatosis presenting as white atrophic plaques, especially in the genital area.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Dermatoloji department. Book Appointment →

What is Lichen Sclerosus?

Lichen sclerosus is a chronic inflammatory disease characterized by skin atrophy, hardening, and white discoloration. It most commonly affects the vulva, perineal and perianal area, and the glans penis in men.

Pathogenesis involves autoimmune mechanisms, genetic predisposition, and low estrogen levels. It causes itching, pain, and sexual dysfunction; without treatment, scar formation and rare squamous cell carcinoma risk exist.

Diagnosis is made by clinical examination and biopsy when needed. Early and continuous treatment slows disease progression.

Symptoms

White, shiny atrophic plaques in anogenital area
Severe itching and burning
Pain during sexual intercourse (dyspareunia)
Easy skin cracking and bleeding
Pain on urination
Genital anatomical changes over time
Foreskin hardening and narrowing in men

Risk Factors

Female sex (especially postmenopausal)
Autoimmune diseases (thyroiditis, vitiligo, alopecia areata)
Genetic predisposition
Low estrogen levels
Chronic irritation and trauma
Family history
Some viral infections

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Persistent itching in the genital area
  • When white spots and skin thinning are noticed
  • Onset of painful intercourse or difficulty urinating
  • New cracks, hardening, or wounds on skin
  • Suspicious changes in symptomatic areas (cancer screening)

Treatment Methods

01
High-potency topical corticosteroids (clobetasol)
02
Topical calcineurin inhibitors (in maintenance)
03
Moisturizers and barrier creams
04
Lubricants and counseling for sexual function
05
Surgery: scar and stricture correction procedures
06
Regular monitoring and malignancy screening

Which Department to Visit?

You can visit our Dermatoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Dermatoloji Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.