medigraphic.com
Órgano oficial de la Sociedad Mexicana de Cirugía Dermatológica y Oncológica, AC

2022, Number 4

<< Back Next >>

Dermatología Cosmética, Médica y Quirúrgica 2022; 20 (4)

Lichen sclerosus: Extragenital spectrum in two cases

Alvarado-Delgadillo A, Aristimuño-Torres M, Esquivel-Pinto IA, Arenas R, Vega-Memije ME, Archer-Dubon C

Language: Spanish
References: 21
Page: 402-406
PDF size: 221.95 Kb.


ABSTRACT

Lichen sclerosus is a chronic inflammatory disease, more frequent in women, usually observed between 40 and 60 years of age, and unusual in children. A multifactorial origin has been proposed that includes genetic, immunological, traumatic, hormonal, infectious, and idiopathic factors. Lichen sclerosus mainly affects the genital area, although it can also be present on any other part of the body surface. This extra-genital location occurs in 15-20% of the patients, and is characterized by the presence of small ivory-white macules and papules, which are grouped into shiny or slightly erythematous hypopigmented plaques of variable shape and size, and atrophic appearance. We present two patients with extragenital lichen sclerosus, a 54-year-old female and a 17-year-old male.


REFERENCES

  1. Guerra A, Liquen escleroso, Actas Dermosifiliogr 2003; 94:633-41.

  2. Fistarol SK e Itin PH, Diagnosis and treatment of lichen sclerosus: anupdate, Am J Clin Dermatol 2013; 14:27-47. doi: 10.1007/s40257-012-0006-4.

  3. Martin R y Ghoreschi K, Morfea y liquen escleroso. En Bolognia JL,Jorizzo JL, Rapini RP et al., Dermatologia, Madrid, Elsevier, 2004, pp.1503-16.

  4. Allevato M, Itala J, Donatti L, Di Paola G et al., Tratamiento del liquenescleroso y atrófico de vulva con el derivado aromático del ácidoretinoico, Ro 10-9359, Act Terap Dermatol 1982; 5:145-55.

  5. Rengifo L, Gutiérrez Z, Cortez F, Carayhua D et al., Liquen esclerosoy atrófico extragenital diseminado, Dermatol Peruana 2005; 15:157-60.

  6. Fischer GO, Vulval disease in pre-puberal girls, Australas J Dermatol2001; 42(4):225-34. doi: 10.1046/j.1440-0960.2001.00526.x.

  7. Fischer G y Rogers M, Vulvar disease in children: a clinical auditof 130 cases, Pediatr Dermatol 2000; 17(1):1-6. doi: 10.1046/j.1525-1470.2000.01701.x.

  8. Ulrich RH, Liquen escleroso. En Goldsmith L, Katz S, Gilchrest B, PallerA et al., Fitzpatrick dermatología en medicina general, Madrid, Panamericana,2013, pp. 702-7.

  9. Kreuter A, Kryvosheyeva J, Terras S, Moritz R et al., Association ofautoimmune diseases with lichen sclerosus in 532 male and femalepatients, Acta Derm Venereol 2013; 93:238-41.

  10. Violini V, Romanello A y Samper A, Liquen escleroatrófico extragenital:serie de casos, Med Cutan Iber Lat Am 2019; 47(1):60-4.

  11. Rodríguez Acar MC, Neri Carmona M, Elizondo Rodriquez A et al.,Liquen escleroso extragenital. Comunicación de un caso, Rev Cent DermatolPascua 2017; 26(1):15-9.

  12. Arias Florez F, Sehtman A, Navajas D y Allevato M, Liquen escleroso,Dermatología Argentina 2016; 22(1):5-12.

  13. Moreno M, Torrelo A, Mediero IG et al., Liquen escleroso y atróficoextragenital en niños, Actas Dermosifiliogr 2000; 91:385-9.

  14. Loening B, Lichen seclerosus et atrophicus in children, Am J Dis Child1991; 145(9):1058-61. doi: 10.1001/archpedi.1991.02160090110035.

  15. Ríos GP, Nicola L, Hernández M et al., Liquen escleroso extragenital:presentación de un caso, Arch Argent Dermatol 2016; 66(1):15-7.

  16. Larre Borges A, Tiodorovic-Zivkovic D, Lallas A et al., Clinical, dermoscopicand histopathologic features of genital and extragenital lichensclerosus, J Eur Acad Dermatol 2013; 27:1433-9. doi.org/10.1111/j.1468-3083.2012.04595.x.

  17. Weedon D, Disorders of collagen, lichen sclerosus et atrophicus. EnWeedon D, Weedon’s skin pathology, Londres, Elsevier, 2010, pp. 303-29.

  18. Cortés Ríos OM, Matos Figueredo FN, Gahona Kross T et al., Liquenescleroso atrófico genital y extragenital diseminado. Presentación deun caso, Medisur (revista en internet) 2013; 1(6):685-9.

  19. Peréz Bruzón MH, Torres Lio CV, Casa de Valle M y Mora Relyes,Liquen escleroso atrófico extragenital, Rev Cub Med Mil 2016; 45(1):98-103.

  20. Matthias DH, Joshua JM, Nitin MM, Michael AG, John CN y Chir MG,Lichen sclerosus in men is associated with elevated body mass index,diabetes mellitus, coronary artery disease and smoking, World J Urol2014; 32:105-8.

  21. Kreuter A y Gambichler T, Narrowband uv-b phototherapy for extragenitallichen scleosus, Am Med Assoc 2007; 143:19-20. doi: 10.1001/archderm.143.9.1213-a.




2020     |     www.medigraphic.com