Skin disorder mistaken for child sexual abuse; prepubertal lichen scleroatrophicus with genital and extragenital involvement - A case report

Lichen scleroatrophicus (LS) is a chronic, progressive, inflammatory dermatosis of the skin and mucous membranes, initially characterized by ivory-colored, oval and sharply demarcated papules, plaques and atrophy. The cause of the disease is still unknown, although autoimmune, genetic, hormonal and infectious factors are to blame. The disease is usually anogenital in childhood. Extragenital placement is very rare during this period. The abrasive appearance can be confused with child abuse, especially in genital LS. In this article we present a 4-year-old girl case with genital and extra genital LS lesions.