Lichen Sclerosus et Atrophicus with Cutaneous Distribution Simulating Lichen PlanusGómez Vázquez M.a · Navarra R.a · Martin-Urda M.T.a · Abellaneda C.a · Quer A.b
aHospital Municipal de Badalona, Barcelona, and bHospital Germans Trias y Pujol, Barcelona, Spain
Dr. Mercedes Gómez Vázquez
Hospital Municipal de Badalona
Cami del Cementiri no 12, Sant Vicenç de Montalt
ES–08394 Barcelona (Spain)
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Lichen sclerosus (LS) et atrophicus is a disease of unknown etiology, although hereditary, endocrine, and autoimmune factors are known to be involved. While the anal and genital regions are predominantly affected, only 2.5% of patients present with extragenital lesions, particularly of the trunk, neck, and upper limbs. The possible relationship between lichen sclerosus et atrophicus and both lichen planus (LP) and localized scleroderma (morphea) has not been clearly established, although in a number of cases, several of these conditions have been found simultaneously. We report the case of a 31-year-old woman with LS lesions affecting the neck, upper back, wrist and dorsum of the feet. The unusual character of this presentation is pointed out, along with its clinical similarity to LP.
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