Authors: Tinatin Gagua, David Gagua, Taha Kassim Dohadwala, Sharin Mary Siji.
Lichen Sclerosus is a benign, chronic dermatological condition characterized by marked inflammation, epithelial thinning, lymphocytic infiltration, and symptoms of vulvar pruritus, labial adhesion, and pain. There are two peaks of onset, one in low estrogen state - among prepubertal girls and the other in peri or postmenopausal women. We present a rare case of lichen scleorsus in a pediatric patient, emphasizing the importance of recognizing this condition in the pediatric population.
Seven y/o female presented with a 6-month history of difficulty voiding, severe pruritus, and vulvar pain. Clinical examination showed white atrophic vulvar papules, partial labial fusion, and purpuric plaque in the anogenital region. Histological examination confirmed the diagnosis of lichen sclerosus. The patient was treated with topical corticosteroids and started on maintenance therapy to reduce recurrence and minimize the risk of vulvar carcinoma. Although rare in children, lichen sclerosus should be considered in diagnosing pediatric genital lesions. Given its high risk of recurrence and increased risk of vulvar carcinoma, long-term complications must be avoided by early detection and prompt management.