The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.
Lichen sclerosus et atrophicus and sexual abuse.
Open accessAbstract
AIMS: The aetiology of lichen sclerosus et atrophicus (LSA) is unknown. A series of 42 cases of this uncommon condition is reported. The aim of this study was to identify associations of LSA and document the association with sexual abuse. METHODS: Information about the patients was obtained by retrospective case note review and some patients were contacted by telephone for further information. RESULTS: In 12 cases there was evidence of sexual abuse. The abused group were slightly older than the non-abused group but were similar in all other respects. All three patients who presented over the age of 12 years had evidence of sexual abuse. Genital trauma was recalled by the patient or found at examination in 17 cases. Evidence of autoimmunity was present in five cases. Positive microbiological isolates were obtained in 18 cases. In only 11 cases were there no associated factors. The symptoms of LSA started between the ages of 3 and 7 years in most patients. The usual symptoms were related to genital skin involvement, and symptoms related to bladder and bowel function were common (50%). CONCLUSION: In this large series of paediatric LSA, associations with trauma, autoimmunity, and infection were noted. There was a high rate of coexisting sexual abuse with LSA, possibly due to genital trauma.
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Citations
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Cited by
Sorted by citations
Childhood vulvar lichen sclerosus: An increasingly common problem
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Lichen Sclerosus—Presentation, Diagnosis and Management
Kirtschig, G. (2016) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2016.0337 · Cited by 185
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Lichen Sclerosus in the Differential Diagnosis of Suspected Child Abuse Cases
Isaac, R., Lyn, M., & Triggs, N. (2007) · Pediatric Emergency Care · doi:10.1097/01.pec.0000280513.98289.e8 · Cited by 18
Te, B., Julien, D., Mar, K., Liu, R., & Kirshen, C. (2026) · Pediatric Dermatology · doi:10.1111/pde.70112 · Cited by 2
Metadata
- Authors
- Warrington, S. A., & de San Lazaro, C.
- Affiliations
- Royal Victoria Infirmary (GB)
- Venue
- Archives of Disease in Childhood
- Publisher
- BMJ
- Published
- 1996-12-01
- Volume
- 75
- Issue
- 6
- Pages
- 512-516
- ISSN
- 0003-9888 (ISSN-L)
- 1468-2044
- PMC
- PMC1511802
- OpenAlex
- W2171856339
- Cited by
- 80
- References
- 34
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 4 · 2023: 1 · 2021: 4 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 3 · 2016: 2 · 2015: 2 · 2013: 2 · 2012: 2
- FWCI
- 2.91
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Archives of Disease in Childhood (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Genital Health and Disease
- Health Sciences › Medicine › Urology › Urological Disorders and Treatments
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- lichen sclerosus, sexual abuse, genital trauma, pediatric patients, autoimmunity, infection, etiology, bowel and bladder dysfunction, childhood onset
- MeSH terms
- Adolescent, Age Factors, Autoimmune Diseases, Child, Child Abuse, Sexual, Child, Preschool, Diagnosis, Differential, Female, Genitalia, Female, Humans, Referral and Consultation, Retrospective Studies, Lichen Sclerosus et Atrophicus
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