Lichen sclerosus was previously termed lichen sclerosus et atrophicus. It is an inflammatory condition that usually affects the genitalia and is more common in elderly females. Lichen sclerosus leads to atrophy of the epidermis with white plaques forming

• Associated with thyroid disease

PC

• white patches that may scar
• itch is prominent
• may result in pain during intercourse or urination

Investigations

The diagnosis is usually made on clinical grounds but a biopsy may be performed if atypical features are present

Management

• topical steroids and emollients
  • clobetasol propionate

Complications

• increased risk of vulval cancer