Lichen Sclerosus – knowledge, symptoms and treatment
Lichen sclerosus is a chronic inflammatory skin disease that most commonly affects the anogenital skin, but can also occur elsewhere on the body. The condition is seen in both children and adults and is more common in women.
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Cause of the disease
The exact cause of lichen sclerosus is not yet fully understood. Research suggests that the disease is related to a misregulation of the immune system, where the body reacts against its own skin tissue. Hormonal factors and genetic predisposition may play a role, but no single cause has been identified.
It is important to emphasize that lichen sclerosus:
- is not contagious
- not due to poor hygiene
- not self-inflicted
Symptoms
Symptoms can vary in intensity and develop over time. The most common are:
- Itching, burning, or pain
- Thin, fragile, or whitish skin
- Cracks, wounds or small bleeding
- Tightness and changes in skin appearance
Early diagnosis is important, as untreated disease can lead to permanent skin changes.
Treatment
The standard treatment for lichen sclerosus is strong topical corticosteroid (steroid cream). The treatment is well documented and aims to:
- reduce inflammation
- relieve symptoms
- prevent further skin changes
When used correctly and under medical supervision, the treatment is considered safe and effective, even with long-term use.
Skincare and everyday tips
In addition to medical treatment, a gentle approach to skin care is recommended to support the skin barrier:
- Use a thick, fragrance-free cream .
- Choose products with simple, moisture-binding ingredients like:
glycerin, squalane, ceramides and panthenol
- Avoid perfumes, essential oils and active ingredients that can irritate the skin
- Limit washing and avoid mechanical irritation
- Use lukewarm water and mild, soap-free cleaning products – or just water if possible.
Regular follow-up with a doctor or dermatologist is an important part of treatment.
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Brief FAQ about lichen sclerosus:
Is lichen sclerosus a rare disease?
No. It is probably underdiagnosed, partly because the symptoms can be difficult to talk about.
Is the disease chronic?
Yes. Lichen sclerosus is a chronic condition, but it can often be kept at bay with proper treatment.
Is steroid treatment dangerous?
No. Strong topical steroid treatment is standard and well-documented. When used correctly and followed by a doctor, it is safe.
Can skin care alone treat lichen sclerosus?
No. Skin care can support the skin barrier, but cannot replace medical treatment.
When should you seek medical attention?
If you experience persistent itching, pain or skin changes in the intimate area, you should always seek medical advice.
