Publication:

Labial adhesions due to vulvar lichen sclerosus in young females: a rare case series

Lichen sclerosis (LS) is a chronic inflammatory dermatosis primarily affecting the anogenital area. It commonly presents in postmenopausal women but may occur at any age. LS can cause extreme pruritic, pain and loss of vulvar architecture with resorption of the labia majora, minora and stenosis of the vaginal introitus and urethral meatus. In rare cases, it can lead to vulvar leukoplakia, labial adhesions, and urinary outflow obstruction. Here, we report 3 cases of young females presenting with urinary symptoms, labial fusion, and leukoplakia. Examination revealed labial fusion, and a white lesions involving labia majora. They underwent reconstruction. Biopsy confirmed LS with features of squamous leukoplakia and mild dysplasia. Early recognition and intervention in lichen sclerosus is crucial to prevent anatomical and functional complications. Multidisciplinary management is key for optimal outcomes in young patients.