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

## TL;DR

This paper describes a rare case of lichen sclerosus in a child involving both genital and extragenital areas, diagnosed using dermoscopy and histology.

## Contribution

The novelty lies in presenting a pediatric case with combined vulvar and extragenital lichen sclerosus confirmed via dermoscopic and histological methods.

## Key findings

- An eight-year-old girl presented with vulvar lesions followed by widespread cutaneous lesions.
- Lichen sclerosus was confirmed using dermoscopic and histological evaluations.
- The case highlights the importance of considering lichen sclerosus in children with chronic skin lesions.

## Abstract

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.