Acral Extragenital Lichen Sclerosus and Its Dermoscopic Findings

Lichen sclerosus (LS) is a chronic inflammatory disorder that predominantly affects the genital region of postmenopausal women, often resulting in significant morbidity due to pruritus and pain. Extragenital manifestations are rare and can present a diagnostic challenge. We report a case of a 65-year-old female presenting with white papules and plaques, some with a cribriform appearance, in an acral distribution. We detail the dermoscopic findings observed and provide a review of the relevant published literature on this topic.