Indian J Sex Transm Dis Indian J Sex Transm Dis
Official Publication of the Indian Association for the Study of Sexually Transmitted Diseases
Indian J Sex Transm Dis
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Year : 2019  |  Volume : 40  |  Issue : 1  |  Page : 6-12

Genital lichen sclerosus et atrophicus in females: An update

Department of Skin-VD, Medical College Baroda, SSG Hospital, Vadodara, Gujarat, India

Correspondence Address:
Dr. Ashma Surani
OPD-1, Medical College Baroda, SSG Hospital, Vadodara - 390 001, Gujarat
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijstd.IJSTD_23_19

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Lichen sclerosus et atrophicus is an acquired chronic inflammatory dermatosis commonly affecting the vulvar and perianal regions. It is associated with an increased risk of vulvar cancer even though it is not a premalignant condition itself. The true precursor of cancer associated with lichen sclerosus (LS) is vulvar intraepithelial neoplasia (VIN), differentiated type. The diagnosis is usually clinical, but in some cases, a biopsy can be performed, especially to exclude VIN or cancer. All females with anogenital LS can be offered clobetasol propionate 0.05% ointment on a regimen for 3 months (once a day for a month, followed by alternative days for a month, and then, twice weekly for a month), combined with a soap substitute and a barrier preparation.

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