Extragenital lichen answer

Extragenital lichen sclerosus et atrophicus

F. Peral Rubio, M.D.Department of Dermatology Complejo Hospitalario Universitario, Badajoz, Spain.

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Extragenital lichen sclerosus et atrophicus

A 50-years-old women.The patient was referred to us for the assessment of lesions on the abdomen.

Extragenital lichen sclerosus et atrophicus

Physical Examination:Hypopigmented, atrophic, 3cm to 6cm, thin plaques were present on the abdomen and inframammary area. Genital skin was without lesion.

Extragenital lichen sclerosus et atrophicus

Skin Biopsy revealed:

Epidermal atrophy.Vacuolar alteration of dermo-epidermal junction.Sclerosis of the papillary dermis.

Extragenital lichen sclerosus et atrophicus

Laboratory examinations:A complete blood count, liver, kidney, and thyroid function tests were normal. Antinuclear antibody and Borrelia burgdorferi serology was negative.

Extragenital lichen sclerosus et atrophicus

Treatment of extragenital Lichen Sclerosus has been reported:

The first-line treatment for all types, is the use of superpotent topical glucocorticoids. Tacrolimus ointment not useful for patients with extragenital lichen sclerosus.Pulsed high-dose corticosteroids combined with low-dose methotrexate treatment in patients with refractory generalized extragenital lichen sclerosus.

Extragenital lichen sclerosus et atrophicus

Other treatments:Narrowband UV-B phototherapy.Pulsed dye laser Topical and oral retinoids PUVA.UVA1 phototherapy.Antimalarials.

Extragenital lichen sclerosus et atrophicus

In this case performed initially treated with topical glucocorticoids getting good response.

Extragenital lichen sclerosus et atrophicus

F. Peral Rubio, M.D.Department of Dermatology Complejo Hospitalario Universitario, Badajoz, Spain.

www.dermatoblog.com