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- W2079085134 abstract "Funding sources: Skin Treatment and Research Trust (START) and Sir John Fisher Foundation. Conflicts of interest: none declared. Dear Editor, We welcome the paper by Al‐Niaimi and Lyon1 describing periurostomal lichen sclerosus (LSc). Their findings further bolster the theory that has been promulgated by C.B. Bunker (C.B.B.) for the past decade that genital LSc is due to occluded exposure of susceptible epithelium to urine. We proffer more support for this hypothesis: three cases of LSc occurring around perineal urethrostomies. Patient 1 is a 63‐year‐old man (with hypertension and type 2 diabetes mellitus) who presented with irritation, pallor and atrophy of the perineal skin radiating circumferentially for several centimetres around a urethrostomy. This had been performed for end‐stage management of a 14‐cm distal urethral stricture due to LSc for which he had previously received two unsuccessful urethral dilatations. Patient 2 is a 77‐year‐old man (with hypertension and hyperlipidaemia) who presented with intermittent soreness, sclerosis and fissures with underlying erythema around a perineal urethrostomy (Fig. 1a). He had previously been treated for panurethral LSc by optical urethrotomy followed by self‐dilatation. However, perineal urethrostomy was necessary because recurrent stricture caused occlusion at the penoscrotal junction." @default.
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- W2079085134 date "2014-01-01" @default.
- W2079085134 modified "2023-10-13" @default.
- W2079085134 title "Lichen sclerosus associated with perineal urethrostomy" @default.
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- W2079085134 doi "https://doi.org/10.1111/bjd.12617" @default.
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