The etiology of lichen sclerosus is not fully known, due to its chronic and progressive nature. The predisposing factor is physiological hypoestrogenism, hence the condition concerns girls during their developmental phase considered as estrogen silent (even as early as at the age of 6 months). The paper presents a 5-year-old patient coming from a rural area and suffering from lichen sclerosus together with partial labial fusion (adhesion) and inflammatory infection of the vulva, vagina and anal area. These symptoms intensified after antibiotic therapy the girl had undergone due to a respiratory tract infection. There were changes in the skin of the labia majora and buttocks indicating lichen sclerosus - swelling, traces of scratches, secondary redness, partial fusion of the labia minora on the side of the crotch known as the fourchette, and a runny yellow-white discharge from the vagina.
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Case Report
Patient suffering from lichen sclerosus together with partial labial fusion (adhesion) and inflammatory infection of the vulva, vagina and anal area
Grażyna Jarząbek-Bielecka1, Małgorzata Mizgier2,*, Jacek Boroch1, Magdalena Pisarska-Krawczyk3, Mariola Pawlaczyk4, Ewa Jakubek5, Witold Kędzia6
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1
Division of Developmental Gynecology and Sexology, Department of Perinatology and Gynecology, Poznan University of Medical Sciences, Poznan 61-701, Poland
2
Department of Morphological and Health Sciences, Dietetic Division, Faculty of Physical Culture in Gorzów Wlkp., Poznan University of Physical Education, Gorzów Wlkp. 66-400, Poland
3
The President Stanisław Wojciechowski Vocational State School in Kalisz, Kalisz 62-800, Poland
4
Department of Geriatrics and Gerontology, Faculty of Health Sciences, Poznan University of Medical Sciences, Poznan 61-701, Poland
5
Department of Law, Organization and Management in Healthcare, Faculty of Health Sciences, Poznan University of Medical Sciences, Poznan 61-701, Poland
6
Department of Perinatology and Gynecology, Poznan University of Medical Sciences, Poznan 61-701, Poland
*Correspondence: m.mizgier@awf-gorzow.edu.pl (MAŁGORZATA MIZGIER)
Clin. Exp. Obstet. Gynecol. 2020, 47(2), 315–319;
https://doi.org/10.31083/j.ceog.2020.02.5167
Published: 15 April 2020
Copyright: © 2020 Jarząbek-Bielecka et al. Published by IMR Press.
This is an open access article under the CC BY-NC 4.0 license
(https://creativecommons.org/licenses/by-nc/4.0/).
Abstract
Keywords
Inflammatory infection
Lichen screosus
Labial fusion