Extragenital lichen answer

Extragenital lichen answer

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  Extragenital lichen sclerosuset atrophicus F. Peral Rubio, M.D. Department of Dermatology Complejo Hospitalario Universitario, Badajoz, Spain. www.dermatoblog.com
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  Extragenital lichen sclerosuset atrophicus A 50-years-old women. The patient was referred to us for the assessment of lesions on the abdomen .
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  Extragenital lichen sclerosuset atrophicus Physical Examination: Hypopigmented, atrophic, 3cm to 6cm, thin plaques were present on the abdomen and inframammary area. Genital skin was without lesion.
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  Extragenital lichen sclerosuset atrophicus Skin Biopsy revealed: Epidermal atrophy. Vacuolar alteration of dermo-epidermal junction. Sclerosis of the papillary dermis.
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  Extragenital lichen sclerosuset atrophicus Laboratory examinations: A complete blood count, liver, kidney, and thyroid function tests were normal. Antinuclear antibody and Borrelia burgdorferi serology was negative.
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  Extragenital lichen sclerosuset atrophicus Treatment of extragenital Lichen Sclerosus has been reported: The first-line treatment for all types, is the use of superpotent topical glucocorticoids. Tacrolimus ointment not useful for patients with extragenital lichen sclerosus. Pulsed high-dose corticosteroids combined with low-dose methotrexate treatment in patients with refractory generalized extragenital lichen sclerosus.
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  Extragenital lichen sclerosuset atrophicus Other treatments: Narrowband UV-B phototherapy. Pulsed dye laser Topical and oral retinoids PUVA. UVA1 phototherapy. Antimalarials.
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  Extragenital lichen sclerosuset atrophicus In this case performed initially treated with topical glucocorticoids getting good response.
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  Extragenital lichen sclerosuset atrophicus F. Peral Rubio, M.D. Department of Dermatology Complejo Hospitalario Universitario, Badajoz, Spain. www.dermatoblog.com