Anais Brasileiros de Dermatologia (Jun 2015)

Bullous and hemorrhagic lichen sclerosus - Case report

  • Raquel Sucupira Andrade Lima,
  • Gustavo Ávila Maquiné,
  • Antônio Pedro Mendes Schettini,
  • Mônica Santos

DOI
https://doi.org/10.1590/abd1806-4841.20153502
Journal volume & issue
Vol. 90, no. 3 suppl 1
pp. 118 – 120

Abstract

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AbstractLichen sclerosus is a chronic inflammatory disease, usually located in the genital area. The etiology of lichen sclerosus is multifactorial, with participation of genetic, autoimmune, infectious and hormonal factors. Bullous clinical form stems from hydropic degeneration of the basal membrane, constituting a less frequent variant of the disease. In this work, we report the case of a female patient, 55 years old, who in the last three years presented whitish plaques, with horny spikes, located on back and arms. Some of these lesions evolved with hemorrhagic blisters, which after histopathological examination confirmed the diagnosis of bullous and hemorrhagic lichen sclerosus. The patient was treated with high-potency topical corticosteroid for two months, resulting in remission of bullous and hemorrhagic lesions.

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