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Pediatric lichen sclerosus (LS)
What is pediatric lichen sclerosus (LS)?
Pediatric lichen sclerosus (LS) is a skin condition that affects the vulva and/or peri-anal area. An estimated 10 to 15 percent of cases occur in young girls.
The cause in young girls is unknown, but genetics, hormonal changes, or an overactive immune system may play a role. The condition is not contagious.
Risk factors
Most cases occur in the postmenopausal years.
What are the signs and symptoms of pediatric lichen sclerosus (LS)?
Symptoms include:
- Itching
- Skin that appears fragile pale, and/or white
- Bruised skin with blood blisters
- Small tears in the skin
- Scar tissue covering the vulvar area
- Bleeding or tearing of the skin during bowel movements
Some girls with lichen sclerosus have no symptoms.
How is pediatric lichen sclerosus (LS) diagnosed?
To diagnose lichen sclerosus, you daughter’s doctor may perform:
- A visual exam to look for skin changes
What are the causes of pediatric lichen sclerosus (LS)?
The cause is unknown, but genetics, hormonal changes, or an overactive immune system may play a role. LS is not contagious.
How is pediatric lichen sclerosus (LS) treated?
If your daughter is diagnosed with lichen sclerosus, even without symptoms, she should be treated to prevent scarring of the vulva, which can lead to problems with urination.
The doctor may recommend:
- Prescription steroid creams or ointments to relieve itching and inflammation
- Avoiding irritants like tight-fitting clothes and harsh soaps/detergents
- Close observation for six months to several years
Regular check-ups are important so symptoms can be treated early.
Pediatric lichen sclerosus (LS) doctors and providers
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Nirupama De Silva, MD Pediatric Gynecologist -
Michele Gifford, MD Pediatric Gynecology -
Jason Jarin, MD Pediatric Gynecologist
Frequently Asked Questions
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How did my daughter develop lichen sclerosis?
The cause is unknown, but genetics, hormonal changes, or an overactive immune system may play a role.
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How will my daughter’s doctor treat her for lichen sclerosis?
Her doctor may prescribe topical medications to relieve itching and inflammation. The doctor will also recommend she avoid irritants like tight clothing and harsh soaps.
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Will lichen sclerosis recur?
It can recur, so it’s important that your daughter gets regular check-ups for timely treatment and reduced scarring. Lichen sclerosis often resolves by puberty, and there is a good chance she will not need treatment beyond that stage.