lichen sclerosus


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lichen

 [li´ken]
1. any of certain plants formed by the mutualistic combination of an alga and a fungus.
2. any of various papular skin diseases in which the lesions are typically small, firm papules set very close together.
lichen amyloido´sus a condition characterized by localized cutaneous amyloidosis.
lichen fibromucinoido´sus (lichen myxedemato´sus) a condition resembling myxedema but unassociated with hypothyroidism, marked by mucinosis and a widespread eruption of asymptomatic, soft, pale red or yellowish, discrete papules.
lichen ni´tidus a usually asymptomatic chronic inflammatory eruption consisting of numerous glistening, flat-topped, discrete, smooth, commonly skin-colored micropapules, located most often on the penis, lower abdomen, inner thighs, flexor aspects of the wrists and forearms, breasts, and buttocks. Widespread involvement may produce confluence of the lesions, with formation of scaly plaques.
lichen pila´ris lichen spinulosus.
lichen planopila´ris a variant of lichen planus characterized by formation of cone-shaped horny papules around the hair follicles, in addition to the typical lesions of ordinary lichen planus.
lichen pla´nus an inflammatory skin disease with wide, flat, purplish, shiny papules in circumscribed patches; it may involve the hair follicles, nails, and buccal mucosa; called also lichen ruber planus.
lichen ru´ber monilifor´mis a generalized or localized eruption with either round, dome-shaped, waxy, dark or bright red papules, or waxy, yellow, milia-like papules, often forming a moniliform (string-of-beads) pattern, sometimes arranged in keloidal bands. Some authorities consider the condition to be a variant of lichen simplex chronicus.
lichen ru´ber pla´nus lichen planus.
lichen sclero´sus (lichen sclero´sus et atro´phicus) a chronic atrophic skin disease marked by white papules with an erythematous halo and keratotic plugging. It sometimes affects the vulva (kraurosis vulvae) or penis (balanitis xerotica obliterans).
lichen scrofuloso´rum (lichen scrofulo´sus) a form of tuberculid manifested as an eruption of clusters of lichenoid papules on the trunk of children with tuberculous disease.
lichen sim´plex chro´nicus dermatosis of psychogenic origin, marked by a pruritic discrete, or more often, confluent lichenoid papular eruption, usually confined to a localized area. Mechanical trauma, such as scratching or rubbing the area, is a factor in its development. The lesions may arise from normal skin or they may occur as a complication of other forms of dermatitis. Called also circumscribed or localized neurodermatitis and lichen chronicum simplex.

Treatment consists of administration of corticosteroids applied locally as a cream or given by intralesional injection to relieve the pruritus. The area should be protected by light dressings and the patient encouraged to avoid mental stress, emotional upsets, and irritation of the affected area. The application of very hot or very cold compresses may afford temporary relief of the itching. The condition tends to become chronic with unexplained remissions and reappearance of lesions in a different part of the body.
lichen spinulo´sus a condition in which there is a horn or spine in the center of each hair follicle; called also lichen pilaris.
lichen stria´tus a self-limited condition characterized by a linear lichenoid eruption, usually in children.
lichen urtica´tus papular urticaria.

lichen sclerosus

A form of skin atrophy affecting the vulva in women and occasionally other areas. The skin becomes white, glazed and sometimes severely shrunken and even ulcerated. Although usually painless, the condition may cause itching and sometimes pain. In about 5 per cent of severe cases occurring after puberty, the condition progresses to vulval cancer, sometimes after it has been present for 20 years or more. Treatment is by local steroid ointment for a limited time, and sometimes surgery.

Breisky,

August, Czech gynecologist, 1832-1889.
Breisky disease - eruption of papules with vulvar involvement. Synonym(s): lichen sclerosus
References in periodicals archive ?
The median duration of symptoms before diagnosis was 6 months, with a wide range from incidental diagnosis at gynaecological examination for an abnormal Pap smear (7 women) to a duration of 10 years in 2 women with lichen sclerosus.
Overexpression of wild-type p53 in lichen sclerosus adjacent to human papillomavirus-negative vulvar cancer.
Conclusions: While a majority of urethral strictures showed collagen fibrosis and mild-to-moderate chronic inflammation, lichen sclerosus was present in an overwhelming percentage of distal urethral strictures.
It appears that the topical and oral ASE products exerted anti-inflammatory, antifibrotic, emollient, and soothing effects on patients with mild to moderate lichen sclerosus.
Malignant melanoma associated with lichen sclerosus in the vulva of a 10-year-old.
And be sure patients understand that all lichens are not created equal, and they need to know the full name of their disorder, whether lichen sclerosus, lichen simplex chronicus, or erosive lichen planus.
I have consulted several gynecologists regarding a problem called lichen sclerosus.
An international team of over 500 specialists contributed the chapters, with new chapters included on lichen sclerosus, vitiligo, mechanisms of autoimmune disease, body art, occupational skin disease, and complementary and alternative dermatology, among other topics.
Luger and his associates have reported complete resolution of anogenital lichen sclerosus with once daily tacrolimus ointment in three prepubertal girls and three adults, with remissions lasting for up to 1 year and no noteworthy adverse effects (Arch.
Lichen sclerosus is a chronic dermatosis characterized by atrophic white papules or plaques of skin and mucosa.
It describes what lichen sclerosus is and how it is diagnosed and treated.
He is providing an array of new, safe and effective treatment options for many conditions, such as Lichen Sclerosus et atrophicus (LS).