Case Report: Vulvar Lichen Sclerosus in a Premenarchal Girl with a Complicated Biopsy

Authors: YOUSEFI, MORVARID¹; PRIDE, HOWARD²; ELSTON, DIRK²

Source: Pediatric Dermatology, Volume 26, Number 3, May/June 2009 , pp. 357-358(2)

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Abstract:

Lichen sclerosus is a T-lymphocyte mediated chronic cutaneous disorder with predilection for the vulva. In prepubertal girls, lichen sclerosus presents as vulvar discomfort, pruritus, bruising/bleeding, discharge, dysuria, or painful defecation. Diagnosis and treatment of lichen sclerosus is of utmost importance in the prevention of complications such as scarring, adhesions, atrophy, or long-term sexual dysfunction. We discuss a case of a 4-year-old female with an atypical presentation of genital lichen sclerosus and a complicated biopsy.

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1525-1470.2009.00922.x

Affiliations: 1: Department of Medicine, Staten Island University Hospital, Staten Island, NY 2: Department of Dermatology, Geisinger Medical Center, Danville, PA, USA

Publication date: 2009-05-01