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Genital Lichen Sclerosus Mistaken for Child Sexual Abuse
Abstract
Because of heightened awareness about sexual abuse, it is important for physicians to differentiate between genital lesions associated with abuse and those associated with "natural" disease processes. Lichen sclerosus is a disease of the skin most often found in the vulvar and perianal areas of postmenopausal women. It is less commonly seen in prepubertal female children and premenopausal adult women. Cases of lichen sclerosus have also been reported on the male genitalia, and it is an uncommon cause of phimosis in boys. One of the clinical manifestations of lichen sclerosus is cutaneous bleeding causing lesions resembling "blood blisters" or bruises.
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Lichen sclerosus et atrophicus and sexual abuse.
Warrington, S. A., & de San Lazaro, C. (1996) · Archives of Disease in Childhood · doi:10.1136/adc.75.6.512 · Cited by 80
Suspected sexual abuse in a 10-year-old girl
v Mühlendahl, K. E. (1996) · The Lancet · doi:10.1016/s0140-6736(96)03448-4 · Cited by 7
Te, B., Julien, D., Mar, K., Liu, R., & Kirshen, C. (2026) · Pediatric Dermatology · doi:10.1111/pde.70112 · Cited by 2
Metadata
- Authors
- JENNY, C., KIRBY, P., & FUQUAY, D.
- Affiliations
- University of Washington (US)
- ORCID
- JENNY, CAROLE
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 1989-04-01
- Volume
- 83
- Issue
- 4
- Pages
- 597-599
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W1536193966
- Cited by
- 57
- References
- 0
- Citations by year
- 2025: 1 · 2024: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2016: 1 · 2013: 1 · 2012: 1
- FWCI
- 4.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Genital Health and Disease
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child Abuse and Related Trauma
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- lichen sclerosus, genital lichen sclerosus, child sexual abuse, differential diagnosis, genital lesions, phimosis, vulvar lesions, perianal lesions
- MeSH terms
- Child Abuse, Sexual, Child, Preschool, Diagnosis, Differential, Female, Humans, Lichen Planus, Vulvar Diseases
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