Some people who have lichen sclerosus do not have any symptoms. Intralesional therapy Injection of triamcinolone acetonide 20 mg directly into the thickened hypertrophic plaques of VLS once per month for 3 months[ 40 ] after topical anesthetic help to minimize patient discomfort. A single study of ultraviolet A1 UVA1 in seven women with VLS that had not been controlled by topical steroids[ 41 ] reported initial improvement in five patients although two relapsed and the others required ongoing treatment with topical steroids. Human papillomavirus-associated increase in p16INK4A expression in penile lichen sclerosus and squamous cell carcinoma. Corticosteroid cream often clears up the skin symptoms. For children with lichen sclerosus affecting the perianal region, constipation may be among the first signs of the presence of the disease.
The majority of women with vulval LP are middle aged and beyond. In these cases, obtain cultures to exclude superinfection by Staphylococcus, Streptococcus , or Candida. If I have lichen sclerosus, what is my risk of getting lichen simplex chronicus? Our skin cells are forever renewing themselves. Your doctor will ask about your physical history.
Itching can be a common problem. They will want to know your health history and how long you have had the symptoms. Low-T and Erectile Dysfunction. Lichen sclerosus usually affects the external genitalia i. What are the side effects of treatment?
Because the affected areas are often around the vulva and genital reasons, they may not be noticed unless other symptoms occur. A differential diagnosis should include, but is not limited to: That means it has many different forms. Causes Complications Diagnosis Treatment Outlook. These feelings may be distressing. There's no cure, but treatment can help relieve the symptoms. How will lichen sclerosus be diagnosed?