[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.158.167.137. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
March 1993

Lichen Sclerosus et Atrophicus Treatment With the 585-nm Flashlamp-Pumped Pulsed Dye Laser

Author Affiliations

Departments of Pediatrics and Dermatology Medical College of Wisconsin Milwaukee, WI 53226

Arch Dermatol. 1993;129(3):381-382. doi:10.1001/archderm.1993.01680240127025
Abstract

To the Editor.—  Lichen sclerosus et atrophicus has frequently been reported to occur in children, the most common sites involved being the genital areas in both girls and boys.1 Although dermatologists are very familiar with this entity and its occurrence in prepubertal children, lichen sclerosus et atrophicus is often misdiagnosed by other clinicians, typically as sexual abuse,2 as evidenced by this case. Symptomatology usually includes pruritus and sometimes pain, but significant bleeding has rarely been described in the literature. Topical fluorinated corticosteroids are prescribed most frequently, as topical testosterone is not indicated in prepubertal girls. This case demonstrates successful use of the 585-nm flashlamp-pumped pulsed dye laser for treating bleeding telangiectases of prepubertal lichen sclerosus et atrophicus. This form of treatment has not previously been reported for this condition.

Report of a Case.—  A 7-year-old girl presented in December 1990 for treatment of a vulvar "hemangioma." Her parents

First Page Preview View Large
First page PDF preview
First page PDF preview
×