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Practice Gaps
Jan 2012

Missing Genital Lichen Sclerosus in Patients With Morphea: Don't Ask? Don't Tell?Comment on “High Frequency of Genital Lichen Sclerosus in a Prospective Series of 76 Patients With Morphea ”

Author Affiliations

Author Affiliations: Departments of Dermatology and Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Arch Dermatol. 2012;148(1):28-29. doi:10.1001/archdermatol.2011.2097

Lichen sclerosus (LS) is an autoimmune inflammatory dermatosis that most commonly afflicts the female genitalia, with an estimated prevalence of 1 in 300 to 1 in 1000. An increased frequency of autoimmune disorders, including thyroid disease, vitiligo, alopecia areata, and pernicious anemia, occurs in patients with vulvar LS compared with controls.1 A diagnosis of LS should prompt evaluation for other autoimmune diseases, but what conditions should prompt physicians to investigate for genital LS?

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