Extra genital and guttate Lichen Sclerosus et Atrophicus

Lichen sclerosus et atrophicus is a chronic skin disease with multiple clinical presentations. It affects women, and less frequently men and children. The disease is usually located in the anal and genital regions. It has a strong association with autoimmune diseases; besides, and immunogenetic studies have demonstrated it's association with HLA DQ7. The disease rarely affects extra-genital regions. The authors report two cases of lichen sclerosus et atrophicus in atypical locations (extra-genital), in which different management was used. High potency topical corticosteroid therapy is reported, with risks, however. Topical immunomodulating agents are described, obtaining favorable clinical responses and decreased risk of atrophy. In this study, we report 52 years old women with extra genital and guttate LSA that was treated with corticosteroid.