TREATMENT OF CHILDHOOD VULVAR LICHEN-SCLEROSUS WITH POTENT TOPICAL CORTICOSTEROID

Potent topical corticosteroid is recognized as the treatment of choice for vulvar lichen sclerosus in adults, A series of 11 children with v ulvar lichen sclerosus were treated with the potent topical corticoste roid betamethasone dipropionate 0.05%, seven using an optimized vehicl e preparation. There was an excellent response to therapy in all cases , No serious adverse effects or unwanted sequelae occurred, Eight of t he 11 children experienced complete remission after 3 months of therap y. In these children no maintenance therapy has been necessary during follow-up periods ranging from 3 to 18 months. Three children required maintenance therapy with a mild topical corticosteroid. We conclude t hat in children, as in adults, potent topical corticosteroid is a safe and effective treatment for vulvar lichen sclerosus.