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June 1962

Lichen Sclerosus et Atrophicus Occurring in Childhood

Author Affiliations


Assistant Clinical Professor of Dermatology, Boston University School of Medicine (Dr. Schiff).

Arch Dermatol. 1962;85(6):746-747. doi:10.1001/archderm.1962.01590060056012

Lichen sclerosus et atrophicus (LSEA) is usually observed in middle-aged or older women. Reports occurring in children have been of interest because of the rarity of the condition in this age group. In 1957, Chernosky et al.1 reviewed the literature and found a total of 35 cases with age of onset between 2 and 13 years. To this they added 4 of their own cases with age of onset ranging from 1 to 9 years. The earliest occurrence of this disease noted in the literature was that of a Negro girl in whom the eruption began at 1 year.

We have observed 2 cases of LSEA, that of a white girl with lesions appearing on the anogenital regions shortly after her first birthday and that of another child, with onset of the disease at the age of 3. The latter showed not only anogenital involvement but also multiplicity of