Can lichen sclerosus affect the anal area?
Yes, lichen sclerosus frequently affects the anal area, especially in women and children. It can cause white patches, itching, soreness, and sometimes fissures around the anus.
Detailed Medical Explanation
Perianal lichen sclerosus may present as pale, smooth, or shiny skin encircling the anus, often with discomfort during bowel movements. It can lead to fissures, bleeding, or difficulty with hygiene. In some cases, the disease forms a “figure-of-eight” pattern involving both vulva and anus. Treatment is similar to vulvar disease and includes potent topical steroids and emollients. More at NHS and BAD.
Clinical Context
Anal involvement may cause significant discomfort. Our clinic provides assessment and care for all affected areas: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Perianal lichen sclerosus responds well to topical steroid therapy. Early diagnosis and treatment reduce complications. For more, see NICE BNF.