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What is the treatment for *lichen sclerosis*? What are the long-term potential complications?

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Final answer:

The treatment for lichen sclerosis involves the use of topical corticosteroids to reduce inflammation and itching. Long-term potential complications of lichen sclerosis include scarring, strictures, and an increased risk of vulvar cancer.

Step-by-step explanation:

Treatment for Lichen Sclerosis

Lichen sclerosis is a chronic inflammatory skin condition that most commonly affects the genital area. The primary goal of treatment is to relieve symptoms and prevent complications. Topical corticosteroids, such as clobetasol propionate or betamethasone, are commonly prescribed to reduce inflammation and itching. These medications should be applied sparingly to the affected area once or twice daily.

Complications of Lichen Sclerosis

If left untreated, lichen sclerosis can lead to several long-term potential complications. These may include:

  • Scarring: Lichen sclerosis can cause the skin to become thin and fragile, leading to scarring.
  • Strictures: In severe cases, lichen sclerosis can cause the formation of strictures, which are narrow, tightened areas in the genital region. This may result in difficulty urinating or pain during sexual intercourse.
  • Cancer: Although rare, long-standing lichen sclerosis has been associated with an increased risk of developing vulvar cancer. Regular screenings and follow-up with a healthcare professional are important to detect any potential issues.
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