Can lichen sclerosus affect the perianal region?
Yes, lichen sclerosus frequently affects the perianal area, especially in women and children. Symptoms include white patches, itching, soreness, and sometimes fissures.
Detailed Medical Explanation
Perianal lichen sclerosus presents as pale, shiny, or wrinkled patches around the anus and may form a “figure-of-eight” pattern with vulval involvement. It can cause pain during bowel movements and risk of fissures or bleeding. Management uses potent topical steroids and barrier creams. For more see NHS and BAD.
Clinical Context
Our clinic provides comprehensive management for perianal symptoms, including children: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Potent topical steroids are first-line. Barrier creams can protect the skin. For full clinical guidance, see NICE BNF.