A 60-year-old postmenopausal woman presents to the GP with vulval itching. On examination, there are white, thickened, atrophic patches in a figure-of...

Question

A 60-year-old postmenopausal woman presents to the GP with vulval itching. On examination, there are white, thickened, atrophic patches in a figure-of-eight distribution. A biopsy confirms lichen sclerosus. Which is the single most appropriate first-line treatment?

Accepted Answer

Super-potent topical corticosteroid (e.g., clobetasol propionate 0.05%)

Answer

Moderately potent topical corticosteroid (e.g., clobetasone butyrate 0.05%)

Answer

Topical oestrogen cream

Answer

Topical tacrolimus 0.1%

Answer

Oral prednisolone 20 mg daily for 2 weeks

uk-drcog MCQ (SBA): Lichen Sclerosus Treatment

A 60-year-old postmenopausal woman presents to the GP with vulval itching. On examination, there are white, thickened, atrophic patches in a figure-of-eight distribution. A biopsy confirms lichen sclerosus. Which is the single most appropriate first-line treatment?