PMC4431497_01
Lichen sclerosus in the clitoral hood.
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The first patient with sexual dysfunction complained of anorgasmia due to LS that involved the clitoral hood (Figure 1).
Lichen sclerosus scarring and atrophy in the upper vaginal introitus.
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The second patient complained about dyspareunia resulting from LS related scarring and atrophy of the vaginal introitus (Figure 2).
Lichen sclerosus bilaterally in the inguinal area.
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These patients were unresponsive to their prescribed antifungal therapy (Figures 3, 4, and 5).
Lichen sclerosus in the pubic area.
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These patients were unresponsive to their prescribed antifungal therapy (Figures 3, 4, and 5).
Lichen sclerosus in the left gluteal area.
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These patients were unresponsive to their prescribed antifungal therapy (Figures 3, 4, and 5).
Lichen sclerosus in the periclitoral area.
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A patient with a non-healing ulcer of the vulva was tested extensively for infectious causes as well as autoimmune diseases before being referred to our specialty clinic for evaluation (Figure 6).
Lichen sclerosus in the right pubic area.
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Another patient presented with similar complaints for a non-healing lesion in the suprapubic area (Figure 7).
Lichen sclerosus initial changes in the left labia majora.
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The lesion was determined to be benign, but on physical examination her vulvar anatomy was already undergoing structural changes consistent with LS (Figure 8).
Lichen sclerosus bilaterally in the labia majora.
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Similarly, one patient complaining of excessive sweating in the perineum due to vulvar hyperhidrosis was diagnosed with LS (Figure 9).
Lichen sclerosus and lichen planus.
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One patient who complained of recurrent urinary infections had a biopsy that demonstrated evidence of LS and lichen planus (Figure 10).
Lichen sclerosus in the inguinal area and perineal area.
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Another patient who complained of recurrent urinary tract infections also had LS (Figure 11).
Lichen sclerosus in the perineal area.
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A third patient who presented with persistent symptoms of dysuria was repeatedly treated despite several normal urine analyses and cultures (Figure 12).
Lichen sclerosus with fissures in the vulva.
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The first patient had numerous fissures on the vulva and vagina provoked by trauma from intercourse and exaggerated daily hygiene with an LS base (Figure 13).
Lichen sclerosus in the perianal area.
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Her physical exam revealed a classic parchment-like appearance of the skin in the perianal and vulvar regions (Figure 14).
Lichen sclerosus covering clitoris and clitoral hood.
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The last atypical case involved a patient who was squirting urine during micturition (Figure 15).