What does lichen sclerosus look like in early stages?
Early lichen sclerosus typically appears as small, white, shiny patches on the vulva, perineum, or anus. The skin may look thin, pale, and slightly wrinkled, sometimes accompanied by mild redness or irritation.
Detailed Medical Explanation
The earliest visible changes in lichen sclerosus include well-defined, porcelain-white plaques or patches. The affected skin may feel delicate, with a texture likened to cigarette paper. Occasionally, small cracks, fissures, or purpura (tiny bruises) are present. Symptoms such as itching or discomfort may precede visible changes. Early diagnosis and treatment are crucial to prevent progression. Visual examples and further guidance can be found in the NHS resource and DermNet NZ.
Clinical Context
Recognising early signs can be challenging, but prompt assessment helps avoid scarring and complications. Women should seek expert review if they notice changes in vulval skin. Our clinic provides experienced diagnosis and support: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Diagnosis is made through clinical examination; a biopsy may be taken if diagnosis is uncertain. Early and regular use of topical corticosteroids can prevent skin thinning and loss of normal anatomy. Further information at NICE BNF.