Case Number : Case 778 - 11th May Posted By: Guest

Lichen sclerosus

Epidermis shows blunting of the rete pegs and hyperkeratosis. In the dermis one can find a zone of homogeneous hyalinized edema of the papillary dermis and an underlying band of lymphocytic infiltrate. A follicular plugging can also be seen.
I go with lichen sclerosus et atrophicus, formerly known as kraurosis vulvae.

Classical LS

Lichen sclerosus et atrophicus... Classic

Agree LS

Lichen sclerosus atrophicys!

Lichen sclerosus is the best term since it can be atrophicus and can be hypertrophicus.In long standing lesion , malignany (SCC) can develop.

agree lichen sclerosis

[quote name='Maria George' timestamp='1370957040']
Lichen sclerosus is the best term since it can be atrophicus and can be hypertrophicus.
[/quote]
Give a name to a disease is really an ungrateful task since it’s hard to sum up all the clinical, microscopic and other important medical features in a few words. And the task is even harder if you take in mind the different presentations of a disease according to the site and to the developing stage.
Lichen sclerosus et atrophicus is not exception to this rule. Early genital lesions are not sclerotic at all, and most of the fully developed extragenital plaques are only, if so, slightly sclerotic.
I’m aware of the preference for the shorter term "lichen sclerosus" by the majority of today’s authors.

Well done everyone, it is lichen sclerosus et atrophicus.

Thank you Rocha.Also small correction in the stem of the question above labia minora is [color=#444444][font=arial, sans-serif][size=1][b][right]plural[/right][/b][/size][/font][/color][color=#444444][font=arial, sans-serif][size=1][right] form of [/right][/size][/font][/color][color=#444444][font=arial, sans-serif][size=1][b][right]labia[/right][/b][/size][/font][/color][color=#444444][font=arial, sans-serif][size=1][right] minus and [/right][/size][/font][/color][color=#444444][font=arial, sans-serif][size=1][b][right]labia[/right][/b][/size][/font][/color][color=#444444][font=arial, sans-serif][size=1][right] majora is the [/right][/size][/font][/color][color=#444444][font=arial, sans-serif][size=1][b][right]plural[/right][/b][/size][/font][/color][color=#444444][font=arial, sans-serif][size=1][right] form of [/right][/size][/font][/color][color=#444444][font=arial, sans-serif][size=1][b][right]labia[/right][/b][/size][/font][/color][color=#444444][font=arial, sans-serif][size=1][right] majus.[/right][/size][/font][/color]

Yes, Dra. Maria George, you're a great observer! However, your observation requires a small touch-up.
In latin, the plural form is “labia” and the singular form is “labium”. So, today’s history case should be corrected to “left labium” and “fissuring labium”.