Lichen sclerosus in children is an uncommon skin disease with a predilection for the genital region. The disease is primarily seen in prepubertal girls and postmenopausal women. We present two cases of four year-old girls referred with classical symptoms but a long diagnostic latency. One of the girls had a classic porcelain white plaque in a figure-of-eight pattern encircling the vaginal introitus and perianal area. The other girl presented with vulvar bleeding raising a suspicion of sexual abuse. Both children were treated with potent topical steroids with an effective response.
Ugeskrift for Laeger, 2012, Vol 174, Issue 19, p. 1309-1310