Lichen Sclerosus et Atrophicus (lichen sclerosus [preferred term], lichen planus atrophicus, lichen planus sclerosus, kraurosis vulva, balanitis xerotica obliterans, vulvar dystrophy)
Are You Confident of the Diagnosis? Characteristic findings on physical examination The most common presenting symptom in patients with lichen sclerosus is pruritus, often worse at night. Pain, dysuria, urinary retention, and dyspareunia due to fissures and/or erosions is not uncommon. Painful defecation due to perianal fissures can result in constipation (often the presenting symptom…