Histopathology Skin--Lichen sclerosus et atrophicus

[BhamsterWA]

Is it possible for LS to effect the same area of the vulva with every episode? Example, the left Perineum and no where else. I have suffered a 4th degree perineal laceration trauma from the birth of my son and I am told this level of trauma is often the cause of LS. I am 34 years of age and I have the symptoms of LS. I am seeking professional medical help. Thank you!

[SzakalBWA]

is it possible to get it on your lips???

[carmak1]

I am only 36 years old and fortunately a nurse practicioner recognised the symptoms of LS. Is there any other effective treatment for this besides that Clobetasol steroid ointment? I'm concerned because I hear it can contribute to that atrophy of the epidermis you described.

[otterboxiphone]

Doc, which image capture system do you use at work? Leica? Nikon?

[WashingtonDeceit]

i have used many

but the best ones

are the free ones

go to univ iowa to use their virtual micrscope online

then capture with camstudio or camtasia

why reinvent the wheel?

life's too short

wdc

[DOCPTSD]

great presentation, thanks. How about two areas of concern- etiology and treatment if any?

[chillijam1]

I have this.. and i was 43 and not post menopausal.. is this anything to do with having an underactive thyroid.. i have been on hrt for 7 years and the skin has been manageable.. . but since being taken off it 5 mths ago the skin is getting sore and itchy. . its not very nice. wish it was talked about more.

[yangfan123]

So amazing! I am doing H&E stain on acute cerebral infarct tissue and really want your illustration style to present my H&E results. How can I zoom to whatever I want but still keep very high resolution in pictures (Just like yours)?

Do I need to take different zoom levels (like zoom1,zoom2,zoom3,zoom5,zoom10­) on the same stained area first and then integrate them into one view? What kind of software I need to integrate them and show them like yours.Thanks a lot

[tampadan]

so its not just medstudents, but new residents as well.

[WashingtonDeceit]

thank you tampadan, you made my day!

wdc

[tampadan]

hey doc, i just started my path residency and am loving these videos. i cant wait to get through them all! theyre a godsend!

[Edguinard]

Wao Doc, quite a time since last vid, it is great to have you back!

[WashingtonDeceit]

somehow the LSA video was zapped from utube, i just had to re upload it...have no idea why this one was yanked, possibly cuz i had word "vulva" on it?

wdc

[89DrAcoNiAn89]

Nice job you're helping med students a lot! thxs!

[WashingtonDeceit]

that's why I do em!

wdc

[shellbeeT]

Nice explanation, however, I belong to a board where most of the members would not be considered elderly, in fact, some are under the age of 20. Most professionals consider this a rare disease.

[WashingtonDeceit]

Thank you kindly for your opinion.

wdc

[shellbeeT]

- forgot to mention that there are also many children and many men affected with this disease both in the genetalia and extragenital.

[hcarducci]

There appears to be splits between the epidermis and the dermis, sort of like what you woudl see with SJS/TEM. Can this be confused with those conditions under the microscope on boards? I have heard that there is minimal clinical information given now and it's basically id the condition from the slide.