A Case of Disseminated Extragenital Lichen Sclerosus et Atrophicus Treated with a Combination of Prednisolone and Methotrexate

Lichen sclerosus (LS) is a chronic, inflammatory dermatosis that results in white plaques with epidermal atrophy and scarring. Lichen sclerosus has both genital and extragenitalpresentations .Extragenital involvement is a rare variant favor the trunk , proximal aspects of the extremities, dorsum, and abdomen . The treatment of extragenital LS is similar to that of genital LS. However, treatment of disseminated extragenital LS is a challenge .we described a case of 15-year-old female with two years history of disseminated extragenital LS which was treated successfully with a combination of systemic prednisolone and methotrexate.