1984
DOI: 10.1001/archderm.120.8.1025
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Lichen sclerosus et atrophicus. A common and distinctive cause of phimosis in boys

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Cited by 64 publications
(32 citation statements)
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“…Penile lichen sclerosus (balanitis xerotica obliterans) is a chronic sclerosing inflammatory disorder of unknown cause that may lead in some cases to meatal stenosis or acquired phimosis (Fig 1). 182,[191][192][193][194][195][196][197][198][199][200][201][202][203][204][205][206][207][208][209][210] There have been anecdotal reports of men developing penile SCC 191,203,204 or verrucous carcinoma 172,182 in association with genital lichen sclerosus. Since penile lichen sclerosus often leads to phimosis, it has been suggested that in lichen sclerosuseassociated penile carcinoma, phimosis probably represented a more important carcinogenic factor than lichen sclerosus itself.…”
Section: Lack Of Circumcision and Related Factorsmentioning
confidence: 99%
“…Penile lichen sclerosus (balanitis xerotica obliterans) is a chronic sclerosing inflammatory disorder of unknown cause that may lead in some cases to meatal stenosis or acquired phimosis (Fig 1). 182,[191][192][193][194][195][196][197][198][199][200][201][202][203][204][205][206][207][208][209][210] There have been anecdotal reports of men developing penile SCC 191,203,204 or verrucous carcinoma 172,182 in association with genital lichen sclerosus. Since penile lichen sclerosus often leads to phimosis, it has been suggested that in lichen sclerosuseassociated penile carcinoma, phimosis probably represented a more important carcinogenic factor than lichen sclerosus itself.…”
Section: Lack Of Circumcision and Related Factorsmentioning
confidence: 99%
“…This is somewhat similar to the appearance of lichen sclerosus et atrophicus in boys in the form of phimosis, concealing minor changes of lichen sclerosus et atrophicus. 4,5 Oddly, infantile perineal protrusion is infrequent or nonexistent in boys.…”
Section: Commentmentioning
confidence: 99%
“…However, circumcision is not warranted in a large number of boys. The most common histological finding after circumcision is a normal prepuce and 10–20% have signs of lichen sclerosus et atrophicus [21, 22, 23]. …”
Section: Discussionmentioning
confidence: 99%