Lichen sclerosus(LS)is a chronic cutaneous disorder of uncertain aetiology seen predominantly in females.It is characterized by white atrophic macules and plaques with a predilection for involvement of the genitalia and perianal skin.Gender-identity disorder(transsexualism)is a descriptive term for individual shaving the genetic,somatic and hormonal basis of one sex but who identify sexually with the opposite sex.Surgical gender reassignment is a fundamental step in the management of these complex patients and is driven by the individual’s belief of being the opposite sex ’trapped’in the wrong body.We report a case of genital lichen sclerosus in hair-bearing skin originally from the scrotum,in an individual who had undergone maleto-female gender reassignment.To our knowledge,no similar cases have been reported to date.
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