Lichen Sclerosus

Lichen sclerosus is a chronic inflammatory skin condition that causes thin, white, itchy patches, most often affecting the genital and anal areas. It can cause significant discomfort but is treatable.

Quick Facts

  • ICD-10: L90.0
  • Most common location: Genital/anal area
  • First-line treatment: Strong topical steroids

Symptoms

  • Itching, often severe
  • White, thin, wrinkled patches of skin
  • Soreness or pain
  • Pain with intercourse
  • Bleeding, blistering, or ulceration
  • Scarring leading to anatomical changes

Diagnosis

  • Clinical examination
  • Skin biopsy when diagnosis is uncertain

Treatment

  • Potent topical corticosteroids (e.g., clobetasol)
  • Long-term maintenance treatment to prevent flares
  • Emollients
  • Gentle skin care, avoid irritants
  • Regular follow-up (small increase in skin cancer risk in affected areas)

When to See a Doctor

See a doctor for persistent genital itching, white patches, or non-healing skin changes. Untreated lichen sclerosus can cause scarring and increases skin cancer risk in affected areas.

Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.

References

  • American Academy of Dermatology. Lichen Sclerosus.