title: Evidence-based (S3) Guideline on (anogenital) Lichen sclerosus.
abstract: Lichen sclerosus (LS) is an inflammatory skin disease that usually involves the anogenital area. All patients with symptoms or signs suspicious of lichen sclerosus should be seen at least once initially by a physician with a special interest in the disease in order to avoid delay in diagnosis, as early treatment may cure the disease in some and reduce or prevent scarring. The diagnosis is made clinically in most cases. Biopsies should only be performed under certain circumstances. The gold standard for treatment remains potent to very potent topical steroids; however, mild and moderate disease in boys and men may be cured by circumcision. Certain triggers should be avoided. http://www.euroderm.org/images/stories/guidelines/2014/S3-Guideline-on-Lichen-sclerosus.pdf http://www.awmf.org/fachgesellschaften/mitgliedsgesellschaften/visitenkarte/fg/deutsche-gesellschaft-fuer-gynaekologie-und-geburtshilfe-dggg.html.
authors.affiliation: Centre of Evidence Based Dermatology, University of Nottingham, Nottingham, UK.|Institute of General Practice and Interprofessional Care, University of Tübingen, Tübingen, Germany.
authors.forename: G
authors.initials: G
authors.lastname: Kirtschig
authors.affiliation: (representing the Deutsche Gesellschaft für Kinderchirurgie), Office for Paediatric surgery, Bonn, Germany.
authors.forename: K
authors.initials: K
authors.lastname: Becker
authors.affiliation: (representing the Deutsche Gesellschaft für Gynäkologie und Geburtshilfe, DGGG), Deptartment of Obstetrics and Gynecology, Cantonal Hospital of Lucerne, Lucerne, Switzerland.
authors.forename: A
authors.initials: A
authors.lastname: Günthert
authors.affiliation: (representing the Lithuanian Association of Dermatovenereologists), Department of Skin and Venereal Diseases of Republican Hospital of Panevezys, Panevezys, Lithuania.
authors.forename: D
authors.initials: D
authors.lastname: Jasaitiene
authors.affiliation: Department of Dermatology, Oxford University Hospitals NHS Trust and University of Oxford, Oxford, UK.
authors.forename: S
authors.initials: S
authors.lastname: Cooper
authors.affiliation: Department of Dermatology, Chang Gung Memorial Hospital, Chiayi, Taiwan.|College of Medicine, Chang Gung University, Taoyuan, Taiwan.
authors.forename: C-C
authors.initials: CC
authors.lastname: Chi
authors.affiliation: Department of Dermatology, Venereology, and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, Oberhausen, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Kreuter
authors.affiliation: Research Centre and Department for Women's Health, University Hospital Tübingen, Tübingen, Germany.
authors.forename: K K
authors.initials: KK
authors.lastname: Rall
authors.affiliation: Department of Dermatology, Medical University of Graz, Graz, Austria.
authors.forename: W
authors.initials: W
authors.lastname: Aberer
authors.affiliation: (representing the Deutsche Gesellschaft für Urologie), Department of Urology and paediatric Urology, University of Hamburg, Hamburg, Germany.
authors.forename: S
authors.initials: S
authors.lastname: Riechardt
authors.affiliation: Dirigente Medico, S. C. Chirurgia Plastica, Chirurgia Plastica Rigenerativa, Ospedale Andrea Gallino, Genova-Pontedecimo, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Casabona
authors.affiliation: Department of Dermatology, Hampshire Hospitals foundation Trust, Hampshire, UK.
authors.forename: J
authors.initials: J
authors.lastname: Powell
authors.affiliation: (patient representative) www.lichensclerosus.org, Association for Lichen Sclerosus and Vulval Health, Oxford, UK.
authors.forename: F
authors.initials: F
authors.lastname: Brackenbury
authors.affiliation: (development of the search strategy and performance of the literature search), Klinik für Dermatologie, Venerologie und Allergologie, Division of Evidence Based Medicine, Charite - Universitätsmedizin Berlin, Berlin, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Erdmann
authors.affiliation: Centro Chirurgico Toscano, Arezzo, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Lazzeri
authors.affiliation: Centro Chirurgico Toscano, Arezzo, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Barbagli
authors.affiliation: Nuffield Department of Clinical Medicine, John Radcliffe Hospital, University of Oxford, Oxford, UK.
authors.forename: F
authors.initials: F
authors.lastname: Wojnarowska
mesh_terms: D001004:Anus Diseases / Q000188:drug therapy* / Q000473:pathology* / Q000601:surgery; D001706:Biopsy; D002944:Circumcision, Male; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D053685:Laser Therapy; D018459:Lichen Sclerosus et Atrophicus / Q000188:drug therapy* / Q000473:pathology* / Q000601:surgery; D008297:Male; D010409:Penile Diseases / Q000188:drug therapy* / Q000473:pathology* / Q000601:surgery; D010778:Photochemotherapy; D007724:Vulvar Lichen Sclerosus / Q000188:drug therapy* / Q000473:pathology* / Q000601:surgery