Lichen sclerosus, usually appearing in the dermatologic literature und
er the names of lichen sclerosus et atrophicus, balanitis xerotica obl
iterans, and kraurosis vulvae, is an inflammatory disease with a multi
factorial origin. A past association of lichen sclerosus and genital s
quamous cell carcinoma is not as close as once thought. Once considere
d primarily a surgical problem, especially when the genitals were invo
lved, lichen sclerosus will respond to a variety of systemic and topic
al therapies.