Genital lichen sclerosus in a case of male-to-female gender reassignment

Authors: Chaudhry, S. I.; Craig, P.¹; Calonje, E.¹; Neill, S. M.¹

Source: Clinical & Experimental Dermatology, Volume 31, Number 5, September 2006 , pp. 656-658(3)

Publisher: Blackwell Publishing

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Abstract:

Summary

Lichen sclerosus (LS) is a chronic cutaneous disorder of uncertain aetiology seen predominantly in females. It is characterized by white atrophic macules and plaques with a predilection for involvement of the genitalia and perianal skin. Gender-identity disorder (transsexualism) is a descriptive term for individuals having the genetic, somatic and hormonal basis of one sex but who identify sexually with the opposite sex. Surgical gender reassignment is a fundamental step in the management of these complex patients and is driven by the individual's belief of being the opposite sex `trapped' in the wrong body. We report a case of genital lichen sclerosus in hair-bearing skin originally from the scrotum, in an individual who had undergone male-to-female gender reassignment. To our knowledge, no similar cases have been reported to date.

Document Type: Research article

DOI: 10.1111/j.1365-2230.2006.02176.x

Affiliations: 1: St John's Institute of Dermatology, St Thomas' Hospital, London, UK

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