Treatment of Vulvar Lichen Sclerosus in Children with Anogenital Lichen Sclerosus

This protocol covers the management of vulvar lichen sclerosus (ICD-11 EB60.0) specifically in children presenting with anogenital lichen sclerosus. The paediatric context shapes treatment selection, as the approach must balance effective disease control with age-appropriate safety considerations.

A topical steroid applied to the affected genital skin forms the basis of management. In children, the regimen is deliberately structured to reduce the risk of skin atrophy — the specific phasing and schedule differ from adult protocols. The complete treatment algorithm is available in the full protocol.