Hemorrhagic bullous lichen sclerosus

Abstract

Lichen sclerosus is a chronic inflammatory mucocutaneous disease that primarily affects the anogenital area in 85% of cases. Extragenital lichen sclerosus is most prevalent in women between their fifth and sixth decades of life. Clinically, it usually manifests as whitish papules that cluster together to form well-defined plaques; they are generally asymptomatic, although they may be itchy. Blistering and hemorrhagic presentations are rare. Diagnosis requires histopathological examination, and first-line treatment includes topical corticosteroids. We present a case seen in our Department.