Peri-clitoral epidermal inclusion cyst as initial presentation of lichen sclerosus in a pediatric patient.
Publication Title
Journal of pediatric and adolescent gynecology
Document Type
Article
Publication Date
1-24-2024
Keywords
washington; swedish
Abstract
BACKGROUND: Lichen sclerosus (LS) is a chronic inflammatory disorder, presenting with pruritis and hypopigmentation of vulvar and anogenital skin. LS presenting as a peri-clitoral mass has not been previously described.
CASE: A 5-year-old patient with vulvar pruritis and ultrasound showing a homogenous mass was referred for suspected clitoromegaly with normal labs. Exam demonstrated a prepubertal patient with mobile, soft, peri-clitoral mass and surrounding hypopigmentation consistent with LS. The cyst was excised surgically; pathology revealed epidermal inclusion cyst. Post-operatively, she was started on topical steroids for LS with symptom resolution.
CONCLUSIONS: Thorough workup of clitoromegaly negative for hormonal causes requires further investigation to determine alternative etiology of mass. We suspect that inflammatory changes of LS and pruritus resulted in the peri-clitoral inclusion cyst.
Clinical Institute
Women & Children
Specialty/Research Institute
Pediatrics
Specialty/Research Institute
Obstetrics & Gynecology
Specialty/Research Institute
Surgery
DOI
10.1016/j.jpag.2024.01.005
