Lichen Sclerosus in Extremes of Age: A Report of Two Cases in Skin of Colour in a Secondary Health Facility in South-South, Nigeria

Abstract

Lichen sclerosus (LS) is a chronic dermatologic condition with a bimodal peak age of occurrence; it is encountered in pre-pubertal  paediatric ages and post-menopausal populations. This dermatosis is thought to have an autoimmune basis and has been rarely  reported in our environment. Although more common in adults, it can affect individuals of all ages. This case series presents two unique  cases of Lichen sclerosus in a 4-year-old female and a 70-year-old female reported in persons with skin of colour, highlighting the  variations in presentation, diagnosis, and management in these distinct age groups. This case series also aims to increase awareness  about this condition which may likely have be misdiagnosed as other similar dermatoses; thus limiting the case detection rate of this  dermatosis in African population.