Lichen sclerosus

Lichen sclerosus is an itchy condition that affects the vulva or the perianal skin. It generally occurs in girls or middle-aged women. In children symptoms are itching, soreness or blisters. It self-resolves in puberty. In older women symptoms are an intolerable itching, soreness and sometimes dypareunia. Classic white atrophic papules and plaques can be seen on the skin; sometimes haemorrhagic blisters and follicular plugging are also present (Ashton & Leppard, 2005).

Finally, poor hygiene can be a cause of anal pruritus; this can be assessed on examination and is easily remedied.

70 ADVANCED CLINICAL SKILLS FOR GU NURSES

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