Extensive bullous lichen sclerosus et atrophicus

Extensive bullous lichen sclerosus et atrophicus

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Abstract Lichen sclerosus et atrophicus is a chronic disease of unknown etiology characterized by atrophic and sclerotic plaques in both genital and extragenital regions.Extensive bullous lichen sclerosus et atrophicus (BLSA) is a severe variant footjoy weste herren of the disease with no widely accepted treatment.We present a 63-year-old woman with extensive extragenital, ivory-colored, atrophic plaques on her trunk and extremities and disseminated hemorrhagic bullae.

The patient was unsuccessfully treated with standard topical corticosteroid metabo 15-gauge finish nailer cordless therapy, doxycycline and chloroquine.According to the literature, there is little evidence of the efficacy of doxycycline and hydroxychloroquine in the treatment of BLSA.We report a rare case of extensive BLSA that is unresponsive to these drugs.