Extragenital lichen answer

Extragenital lichen sclerosus et atrophicus

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

www.dermatoblog.com

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

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

Skin Biopsy revealed:

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

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

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.

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

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

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

www.dermatoblog.com

Extragenital lichen answer

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Transcript of Extragenital lichen answer

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