title: Bullous and hemorrhagic lichen sclerosus--Case report.
abstract: Lichen sclerosus is a chronic inflammatory disease, usually located in the genital area. The etiology of lichen sclerosus is multifactorial, with participation of genetic, autoimmune, infectious and hormonal factors. Bullous clinical form stems from hydropic degeneration of the basal membrane, constituting a less frequent variant of the disease. In this work, we report the case of a female patient, 55 years old, who in the last three years presented whitish plaques, with horny spikes, located on back and arms. Some of these lesions evolved with hemorrhagic blisters, which after histopathological examination confirmed the diagnosis of bullous and hemorrhagic lichen sclerosus. The patient was treated with high-potency topical corticosteroid for two months, resulting in remission of bullous and hemorrhagic lesions.
authors: Fundação Alfredo da Matta, Manaus, AM, BR.
authors: Raquel Sucupira Andrade
authors: RS
authors: Lima
authors: Fundação Alfredo da Matta, Manaus, AM, BR.
authors: Gustavo Ávila
authors: GÁ
authors: Maquiné
authors: Fundação Alfredo da Matta, Manaus, AM, BR.
authors: Antônio Pedro Mendes
authors: AP
authors: Schettini
authors: Fundação Alfredo da Matta, Manaus, AM, BR.
authors: Mônica
authors: M
authors: Santos
mesh_terms: D001706:Biopsy; D001768:Blister / Q000473:pathology*; D005260:Female; D006470:Hemorrhage / Q000473:pathology*; D006801:Humans; D018459:Lichen Sclerosus et Atrophicus / Q000473:pathology*; D008875:Middle Aged; D012867:Skin / Q000473:pathology