1. They reported complete disappearance of symptoms in a quarter of their cases, within one year of follow up, and a further half of their patients were improved at one and a half years. More recently, however, Ridley stated that she had never seen a case spontaneously resolve.9 We have never observed complete resolution either, although many of our cases have improved to the point where they are asymptomatic. Extra-genital disease seems to carry the best prognosis. 4 17 Complete resolution in adults is rare, and probably confined to extragenital lesions.4 In adult lichen sclerosus carcinoma may supervene,4 and although this complication has not been reported in childhood, Wallace recorded a case in whom carcinoma developed at the age of30 in a patient who had suffered persistent lichen sclerosus since childhood.4 sus et atrophicus in children misdiagnosed as sexual abuse;Br Med J,1987
2. Lichen sclerosus et atrophicus in children misdiagnosed as sexual abuse;Priestley, B.L.; Bleehan, S.S.;(Letter.) Br Med J,1987
3. Lichen sclerosus et atrophicus in children misdiagnosed as sexual abuse;Davidson, D.C.; Clarke, M.D.B.; Kean, H.B.;(Letter.) Br Med J,1987
4. Lichen sclerosus et atrophicus. Transactions of the St John's Hospital Dermatological;Wallace, H.J.;Society,1971
5. Lichen sclerosus et atrophicus and autoimmunity-a study of 350 women;RH, Meyrick Thomas; CM, Ridley; DH, McGibbon; MM, Black;Br J Dermatol,1988