title: Case report: vulvar lichen sclerosus in a premenarchal girl with a complicated biopsy.
abstract: Lichen sclerosus is a T-lymphocyte mediated chronic cutaneous disorder with predilection for the vulva. In prepubertal girls, lichen sclerosus presents as vulvar discomfort, pruritus, bruising/bleeding, discharge, dysuria, or painful defecation. Diagnosis and treatment of lichen sclerosus is of utmost importance in the prevention of complications such as scarring, adhesions, atrophy, or long-term sexual dysfunction. We discuss a case of a 4-year-old female with an atypical presentation of genital lichen sclerosus and a complicated biopsy.
authors.affiliation: Department of Medicine, Staten Island University Hospital, Staten Island, NY, USA. morvaridhashemi@gmail.com
authors.forename: Morvarid
authors.initials: M
authors.lastname: Yousefi
authors.forename: Howard
authors.initials: H
authors.lastname: Pride
authors.forename: Dirk
authors.initials: D
authors.lastname: Elston
mesh_terms: D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007724:Vulvar Lichen Sclerosus / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy