Extragenital Lichen Sclerosus With Vulvar Involvement in a Child: A Clinical and Dermoscopic Perspective

Lichen sclerosus is a chronic inflammatory condition that involves both anogenital and extragenital areas, primarily affecting females, and can occur at any age. Although extragenital manifestations are rare, children may present with genital involvement, extragenital lesions, or a combination of both. We report a case of an eight-year-old girl who had vulvar lesions for two years, followed by the appearance of widespread cutaneous lesions two months prior to presentation. The diagnosis of lichen sclerosus was confirmed through dermoscopic evaluation and histological examination.