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Lichen sclerosis

Document
Last amended 
8 June 2015

Non melanotic malignant neoplasm of the skin - Lichen sclerosis Factor

Description

Lichen sclerosis is a chronic inflammatory, often itchy, skin disease characterised by flat-topped white macules or patches. Other names for this condition are 'balanitis xerotica obliterans' and 'lichen sclerosus et atrophicus'.

Signs and symptoms

Lichen sclerosis appears as chronic white patches on the skin. Like any form of epidermal atrophy the skin becomes thinned and crinkled. The skin tears easily and bright red or purple discolouration from bleeding appears.  In more severe cases scarring can occur.

Establishing Onset

The veteran/member may not have sought medical intervention for some time, due to the nature of the symptoms, however, a medical examination would have been necessary to obtain a diagnosis. In the absence of doctors' notes and/or hospital records, a reliable history of appropriate signs and symptoms at a particular time may suffice. If the evidence is unclear, seek advice from a medical officer.

Last reviewed for CCPS 26 September 2007.

Preliminary questions [34520]

34527 there is some evidence that lichen sclerosis may be a factor in the development of the condition under consideration.

34528 the veteran has had lichen sclerosis at some time.

34529 the veteran has had lichen sclerosis of side and site of the body at some time.

34530 the veteran had lichen sclerosis of side and site of the body at the time of the clinical onset of the condition under consideration.

34531  the veteran has established the causal connection between lichen sclerosis and VEA service for the clinical onset of non-melanotic malignant neoplasm of the skin.

34532   the veteran has established the causal connection between lichen sclerosis and operational service for the clinical onset of non-melanotic malignant neoplasm of the skin.

or

34533   the veteran has established the causal connection between lichen sclerosis and eligible service for the clinical onset of non-melanotic malignant neoplasm of the skin.

Clinical onset and operational service [34532]

34534  the lichen sclerosis is causally related to operational service.

Clinical onset and eligible service [34533]

34535  the lichen sclerosis is causally related to eligible service.