Doctor insights on:
Lichen Sclerosus Vs Lichen Planus
I have been given hydroxychlotoquine for lichen sclerosis and lichen planus flare. Am on metoprolol 25mg a day. Is this a good plan?
A condition characterized by itchy, pale, fragile patches of skin usually involving the external genitalia and perianal areas, but occasionally seen on the breasts or elsewhere. Most common in postmenopausal women, occasionally seen children and men. Untreated ls can cause permanent scarring so proper diagnosis ...Read more
Pale itchy patches: Lichen sclerosus appears as itchy, pale, fragile patches of skin usually involving the external genitalia and perianal areas, but occasionally seen on the breasts or elsewhere. Most common in postmenopausal women, occasionally seen children and men. Untreated ls can cause permanent scarring so proper diagnosis and treatment is essential. ...Read more
Here are some. ..: Lichen sclerosus is a skin atrophic change usually seen in the glans penis and commonly related with long-tight foreskin with recurrent chronic inflammation, but not always necessarily, and may cause urethral opening to narrow with retrotrusion resulting in so-called urethritis xerotica obliterans, which requires generous meatotomy and subsequent meatal dilation to keep it open. More? Ask Doc time ...Read more
I have lichen sclerosus quite bad I've tried various meds but nothing helped can you advise me what to do?
Dermatology consult: Dermatogists are best to tx this rare condition. We can prescribe certain steroidal and hormonal creams that are usually effective. ...Read more
Genital L. sclerosis: Best managed by GYN Dr. Lichen sclerosis most often involves genital skin and tends to develop after menopause. Prescription strength corticosteroid creams or ointments used daily for quite some time usually helps. U may need to follow-up using cream couple of times/week. Some need medication to affect body's immune response like tacrolimus or primecrolimus. ...Read more
Steroid cream: Lichen sclerosus is poorly understood as far as a cause. It does respond, however, to high potency steroid cream. The most commonly used cream is called clobetasol. It is probably best used as an ointment and is available only with a prescription. Talk to your ob/gyn! ...Read moreSee 1 more doctor answer
http://www. Niams. Nih. Gov/health_info/lichen_sclerosus/default. Asp.
I have just got rid of a Bartholins cyst but now have a hard lump on my clitoris, I also have lichen sclerosus which is under control at the monent?
See doctor: The hard lump on the clitoris needs to be examined to see what it might be. Not likely something bad, but still should get checked out. ...Read more
White patches of skin on penis head, told its lichen sclerosus by a doctor. I did two courses (30 days each) of clobetasol propionat 0.05% no effect.
Bothering you?: Such skin change is not curable but manageable if symptomatic. Nonetheless, without a detailed history about its onset, duration, degree, progress, evolution, and sequence of events of all symptoms + a direct look at, it is hard to offer accurate diagnosis and advice. So, with these in mind, seek evaluation. ...Read more
Can lichen sclerosus happen to a circumcised penis as I been on numerous creams lotions over the years and biospy showed post inflammatory changes?
Yes: This is a diagnosis seen on the head (glans) of the penis, typically young boys. Antihistamine does not reduce the itch and does nothing for this. Hydrocortisone cream is fine if it helps, but probably won't. Best remedy is clobetasol ointment. If it helps, you may need it for a long time. Circumcision is not relevant. ...Read more
Can lichen sclerosus cause anal fissures? I have LS confirmed by biopsy on vulva & perineum with fissures but wondered if anal fissures are LS related?
Are there any blood tests to see what causes genital lichen sclerosus? My doc did a biopsy. What do they look for?
No blood test: Lichen sclerosis is a biopsy diagnosis not a blood test diagnosis. Generally the pathologist sees atrophic changes of the skin- there is a thinner epidermis with a thicker collagen area and there may be some inflammation. it is more common post menopausally and may respond to topical estrogens. It is a benign condition. ...Read more