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Open Access Publications from the University of California

Bullous hemorrhagic lichen sclerosus of the breast: a report of two cases and review of the literature

  • Author(s): Ryan, Michael P
  • Monjazeb, Seena
  • Ross, Lindy S
  • Kroger, Kathleen T
  • et al.
Creative Commons 'BY-NC-ND' version 4.0 license

Lichen sclerosus (LS) is a chronic dermatologic condition characterized by atrophic porcelain-appearing plaques that can cause intense discomfort and eventually lead to destruction of local architecture. Lichen sclerosus most commonly arises in the anogenital area, but up to 20% of cases can present on extragenital skin. Rarely, LS can also present with hemorrhage and bullae; the mechanism by which this occurs is unknown. We report two cases of bullous hemorrhagic LS of the breast arising in 66-year-old and 77-year-old women. Bullous hemorrhagic LS of the breast is exceedingly rare, with few reported cases, and presents a diagnostic challenge to clinicians.

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