Lichen Sclerosus Et Atrophicus - DermAtlas

Contributor

Bernard Cohen, MD

Diagnosis

lichen sclerosus et atrophicus

Body Site

vulva (labia) genital perineum vagina

Age

5 years

Pigmentation

light

Organization

confluent

Color

white/hypo purple

Morphology

depressed (atrophy, loss of soft tissue,scar)

Pattern

symmetric

Comments

This healthy 5 year old girl was mistakenly evaluated for sexual abuse when she was noted to develop confluent atrophic hypopigmented fibrotic plaques involving the vulvae, vagina, and perineum. Although she had only minimal intermittent pruritus, minor trauma resulted in recurrent petechiae and larger areas of bruising which were misinterpreted as child abuse.

Description

well demarcated symmetric atrophic fibrotic plaque with petechiae

Image Added

4/28/2002 10:44:22

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Other Resources

PubMed Medline Plus Medscape

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