Vulvar lichen sclerosus in a prepubertal girl
The present case has been reported in the Oxford Medical Case Reports.

A 7-year-old girl consulted the pediatrician for itching and ecchymosis in the perineum, denying any other symptoms. Perineum examination revealed skin discoloration in the area involving the vulva and perianal region, with areas of ecchymosis.

The clinical diagnosis of lichen sclerosus (LS) was established, and the patient initiated treatment with topical 0.05% fluticasone propionate ointment once a day for 2 weeks, then on alternate days for an additional 2 weeks.

After 4 weeks of treatment the patient’s skin lesions and symptoms had subsided completely. At re-evaluation 6 months after treatment, the patient remained asymptomatic.

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