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Lichen sclerosus: an atypical presentation.
Sidney B Smith1, Jeffrey J Meffert
1Uniformed Services Health Education Consortium Program, Brooke Army Medical Center, San Antonio, Texas 72834, USA. sidneybsmith@pol.net
Cutis
|June 26, 2002
Summary
This case study details an unusual presentation of lichen sclerosus (LS) in a man, featuring rare axilla and scrotal skin involvement. The findings highlight the diverse and previously unreported manifestations of this chronic inflammatory skin condition.
Area of Science:
- Dermatology
- Case Reports
Background:
- Lichen sclerosus (LS) is a chronic inflammatory skin condition with characteristic genital and extragenital manifestations.
- While common in women, LS in men typically involves the glans penis and scrotum, though extragenital involvement is less frequently reported.
Observation:
- A 66-year-old Hispanic man presented with an atypical and extensive form of lichen sclerosus.
- Key unusual features included bilateral axilla involvement, scrotal skin plaques, and a notably thick plaque on his back.
Findings:
- This case represents the first known report of bilateral axilla involvement in lichen sclerosus.
- Scrotal involvement, while not uncommon in women, is less typical in men with LS.
- The presence of an uncommonly thick plaque on the back further underscores the atypical nature of this presentation.
Implications:
- This report expands the known spectrum of clinical presentations for lichen sclerosus.
- It emphasizes the importance of considering LS in patients with unusual skin findings, even in extragenital locations like the axilla.
- Further research may be warranted to understand the factors contributing to such diverse manifestations of LS.