Lichen sclerosus is a chronic inflammatory disease affecting genital and extragenital areas of females and, less frequently, males. It causes itch and pain and leads to scarring and atrophy of the affected areas. The diagnosis is usually performed by clinical and histopathological examination. Dermatoscopy of lichen sclerosus shows the presence of whitish patches associated with linear branching or dotted vessels; comedo-like openings represent less frequent findings. This aspect allows recognizing lichen sclerosus, ruling out other conditions, such as vitiligo, post-inflammatory depigmentation, and morphea.
KeywordsLichen sclerosus Comedo-like openings Localized scleroderma Whitish patches
- 4.Lacarrubba F, Dinotta F, Nasca MR et al (2012) Localized vascular lesions of the glans in patients with lichen sclerosus diagnosed by dermatoscopy. G Ital Dermatol Venereol 147:510–511Google Scholar
- 5.Borghi A, Corazza M, Minghetti S et al (2016) Dermoscopic features of vulvar lichen sclerosus in the setting of a prospective cohort of patients: new observations. Dermatology 232:71–77Google Scholar
- 6.Lacarrubba F, Pellacani G, Verzì AE et al (2015) Extragenital lichen sclerosus: clinical, dermoscopic, confocal microscopy and histologic correlations. J Am Acad Dermatol 72:S50–S52Google Scholar
- 7.Horcajada-Reales C, Campos-Domínguez M, Conde-Montero E et al (2015) Comedo-like openings in dermoscopy: an essential diagnostic clue for lichen sclerosus, even in children. J Am Acad Dermatol 72:S4–S5Google Scholar