Lichen sclerosus

• Facts:
  Chronic inflammatory condition of the anogenital area
  MC affects postmenopausal women
• History / PE:
  Anogential discomfort
  Pruritis
  Dyspareunia
  Dysuria
  Painful defecation
• Diagnosis:
  Porcelain-white atrophy
  Vulvar punch biopsy (rule out vulvar SCC)
• Treatment:
  High potency topical steroids
• See Also:
  Lichen planus (mucocutaneous disease)