Case Number : Case 390 Posted By: Guest

Phillip McKee - Overseas Consultations (Cave Creek, Arizona, USA) Wrote:

Lichen sclerosus is correct. Post radiation effect is an excellent differential diagnosis. However, there was no history of prior radiation in this patient.

Submitted on 07/12/2011 21:50
________________________________________

Marcela Escanamé - Medical University of Graz (Austria ) Wrote:

Lichen sclerosus et atrophicus

Submitted on 07/12/2011 20:04
________________________________________

Juan Carlos Garcés - Hospital Oncológico / Hospital Luis Vernaza (Guayaquil Ecuador) Wrote:

Agree with lichen sclerosus

Submitted on 07/12/2011 19:55
________________________________________

Graham Reilly - Princess Elizabeth Hospital (Guernsey) Wrote:

agree - lichen sclerosus

Submitted on 07/12/2011 19:28
________________________________________

Marwa Fawzy - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

LSEA

Submitted on 07/12/2011 19:06
________________________________________

Zena Slim (SpR Histopath) - Wessex Deanery (Portsmouth) Wrote:

I would agree in that the features are in keeping with Lichen Sclerosis. However, considering the site, is there a history of irradiation ? Could the features be representative of a chronic radiation dermatitis ? : hyperkeratosis, irregular epidermal hyperplasia, basal vacuolar damage, dermal hyalinisation, dermal chronic inflammation, telangectasia, . I spotted a few odd-looking fibroblasts in the left-hand corner of the highest power image.Z

Submitted on 07/12/2011 17:57
________________________________________

Eman El-Nabarawy - Cairo University (Egypt) Wrote:

LSEA.

Submitted on 07/12/2011 17:56
________________________________________

Peter Karolyi - () Wrote:

Agree, Lichen sclerosus.

Submitted on 07/12/2011 17:14
________________________________________

Marcela Saeb Lima - INCMNSZ (Mexico City) Wrote:

lichen sclerosus et atrophicus

Submitted on 07/12/2011 16:27
________________________________________

Rodrigo Restrepo - UPB/CES (Mdll/Col) Wrote:

Lichen sclerosus.

Submitted on 07/12/2011 15:57
________________________________________

Mona Abdel Halim - Dermatology Dept. Cairo Univ. (Egypt) Wrote:

LSEA

Submitted on 07/12/2011 15:19
________________________________________

A Bansal - BCU HB (North Wales) Wrote:

Agreed - lichen sclerosus.

Submitted on 07/12/2011 15:10
________________________________________

Sasi Attili - (UK) Wrote:

LS

Submitted on 07/12/2011 15:09
________________________________________

I. Abdul-kadir - SJUH (Leeds, UK) Wrote:

Extragenital lichen sclerosus.

Submitted on 07/12/2011 14:59
________________________________________