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[Diffuse lichen sclerosus et atrophicus involving the palms]
1Department of Plastic Surgery, Kaplan Medical Center, Rehovot, Israel.
Harefuah
|August 12, 2003
Summary
Lichen sclerosus et atrophicus (LSA) is rare, often affecting genitalia. This case highlights diffuse LSA with severe hand contractures and aggressive skin cancers, suggesting early, intensive treatment is crucial.
Area of Science:
- Dermatology
- Oncology
- Rheumatology
Background:
- Lichen sclerosus et atrophicus (LSA) is a rare inflammatory skin condition.
- Typically affects the genitalia, but can present diffusely.
- While often benign, LSA carries risks of disabling complications and malignancy.
Observation:
- A patient developed diffuse LSA in their sixth decade.
- The condition manifested with widespread lesions.
- Significant involvement of the hands, leading to severe contractures, was noted.
Findings:
- The patient developed multiple aggressive squamous cell carcinomas.
- Severe, deforming contractures of the fingers and palms resulted in loss of hand function.
- This case represents a rare presentation of diffuse LSA with severe sequelae.
Implications:
- Aggressive primary treatment for cutaneous lesions in LSA is recommended.
- Early intervention may prevent severe functional impairment and malignant transformation.
- Further research into LSA management, especially for diffuse and severe cases, is warranted.