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Cited by 274Genital Health and DiseaseOral Health Pathology and TreatmentGenetic and rare skin diseases.

The DOI matches its Crossref record; 18 of the 19 references it cites were found in a registry or an index.

Childhood vulvar lichen sclerosus: An increasingly common problem

Powell, Jenny, Wojnarowska, Fenella·2001·Journal of the American Academy of Dermatology
DOI 10.1067/mjd.2001.113474
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Abstract

Background Lichen sclerosus (LS) of the vulva in children is presenting more commonly, but its origin is unknown.Objective The purpose of this study was to assess the prevalence of childhood vulvar LS, to examine factors that may play a role in its cause, and to attempt to define the current optimal treatment.Methods We surveyed 70 cases of LS currently being treated in the pediatric vulvar clinic to collect information on presentation, family history, associated disease, and typical course of the disorder. We looked retrospectively and prospectively at treatments for LS.Results We found a prevalence of premenarchal LS of 1 in 900 and confirmed an increasing incidence. In a high proportion of cases (77%), the question of sexual abuse had been raised. A family history of LS was found in a minimum of 17% of cases. Associated autoimmune disease occurred in 14%, but 64% told of a family history, and atopy occurred in 59%. Potent topical steroid ointments appear to alleviate symptoms most effectively, with minimal side effects.Conclusion Although the cause of LS remains uncertain, it is not a rare disease in prepubertal girls. Current optimal management includes prompt diagnosis and institution of treatment with a potent topical steroid.

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Crossref · 10.1067/mjd.2001.113474

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Research works printed but not linked: 2

  1. Ridley, 1993, Genital lichen sclerosus in childhood and adolescence, J R Soc Med, 86, 69
  2. Marten, 1995, Lichen sclerosus: the patient, the hormonal influences and the disease impact, Br J Dermatol, 21, 133

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Metadata

Authors
Powell, J., & Wojnarowska, F.
Affiliations
John Radcliffe Hospital (GB)
Venue
Journal of the American Academy of Dermatology
Publisher
Elsevier BV
Published
2001-05
Volume
44
Issue
5
Pages
803-806
ISSN
0190-9622 (ISSN-L)
DOI
10.1067/mjd.2001.113474
OpenAlex
W2069570115
Cited by
274
References
19
Citations by year
2026: 8 · 2025: 12 · 2024: 17 · 2023: 11 · 2022: 10 · 2021: 20 · 2020: 15 · 2019: 12 · 2018: 6 · 2017: 12 · 2016: 14 · 2015: 13 · 2014: 13 · 2013: 11 · 2012: 11
FWCI
10.16
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Journal of the American Academy of Dermatology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Genital Health and Disease
  • Health Sciences › Dentistry › General Dentistry › Oral Health Pathology and Treatment
  • Health Sciences › Medicine › Dermatology › Genetic and rare skin diseases.
Keywords
lichen sclerosus, vulvar lichen sclerosus, pediatric vulvar disease, prevalence, incidence, sexual abuse, family history (medicine), autoimmune disease, atopy, topical corticosteroids
MeSH terms
Adolescent, Child, Child, Preschool, England, Female, Humans, Risk Factors, Vulvar Diseases, Cohort Studies, Incidence, Prevalence, Lichen Sclerosus et Atrophicus

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CoChat. (2026). Citation check: Childhood vulvar lichen sclerosus: An increasingly common problem. https://app.cochat.ai/papers/10.1067/mjd.2001.113474
The paper
Powell, J., & Wojnarowska, F. (2001). Childhood vulvar lichen sclerosus: An increasingly common problem. Journal of the American Academy of Dermatology. https://doi.org/10.1067/mjd.2001.113474