An 84-year-old woman presented with worsening pain and burning of the skin on her neck and torso that had begun several months prior. She reported that she had been diagnosed with lichen sclerosus (LS) approximately 12 years ago. She stated that she initially had a small, silver dollar-sized area on her right breast that had slowly progressed to multiple lesions and had begun to cover her neck, back, and chest. She could not recall the specific different treatment regimens she had tried.
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