Lichen sclerosus et atrophicus (LSA) is an inflammatory disease that primarily causes anogenital lesion in middle aged women. We present here a case of facial LSA with an asymptomatic, well-demarcated, whitish to bluish, atrophic patch in a linear pattern on the forehead of a 48-year-old woman. This case showed an atypical clinical presentation and it mimicked en coup de sabre, but the histopathologic results confirmed the diagnosis of LSA.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3130869PMC
http://dx.doi.org/10.5021/ad.2011.23.2.222DOI Listing

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