What are the first signs and symptoms of lichen sclerosus?
The earliest symptoms of lichen sclerosus often include itching, discomfort, and the appearance of small white patches on the skin, typically in the genital or anal area. Early diagnosis is important to prevent complications and improve treatment outcomes.
Detailed Medical Explanation
Initial signs of lichen sclerosus often include persistent itching, soreness, or a burning sensation, especially in the vulva or perianal area. The skin may appear pale, white, and shiny, sometimes with small cracks or tears. Bruising or blistering may occur in severe cases. In children, constipation and painful bowel movements can be seen if the anal area is affected. The disease can progress if left untreated, so early recognition is crucial. Further information is available from the NHS.
Clinical Context
Lichen sclerosus most commonly begins in women after menopause but can occur at any age. Early intervention helps to prevent scarring and complications. Our clinic offers prompt assessment and tailored care: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Diagnosis is based on history and examination, with biopsy considered for unclear cases. Potent topical corticosteroids are effective at controlling symptoms and halting disease progression. For more information, see British Association of Dermatologists.