Overview
Lichen sclerosus causes thin, white patches, itching and sometimes scarring. It most often affects the vulva but can occur elsewhere.
Possible causes or associations
- Autoimmune factors
- Chronic inflammation
- Unknown triggers
Assessment and management considerations
- Dermatologic diagnosis
- Topical corticosteroids under guidance
- Long-term monitoring
Normal variation note
Not all white patches are lichen sclerosus; assessment is needed.
Key points
- Chronic inflammatory condition
- May cause itching and scarring
- Needs long-term care
- Associated with cancer risk in some cases
When to seek care
- Persistent white patches
- Itching or pain
- Scarring or architectural change