{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T14:45:05Z","timestamp":1792075505838,"version":"4.4.0"},"reference-count":13,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Cutan Pathol"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Lichen sclerosus (LS) is a chronic inflammatory skin disease typically affecting anogenital regions, with occasional extragenital involvement; however, its occurrence in acrochordons is seldom reported. We present eight cases of LS\u2010like changes within acrochordons in patients with no prior history of LS elsewhere. Histopathologic examination confirmed characteristic LS features localized to the acrochordons. These findings raise questions about whether such changes represent a localized response to friction and\/or chronic intermittent pressure\u2010type trauma or a form of primary extragenital LS. Current literature suggests trauma as a key pathogenic mechanism in both classic LS and its manifestation within acrochordons, and our cases further support this hypothesis. Notably, neither our patients nor previously reported cases had documented LS at other sites, suggesting that LS\u2010like changes in acrochordons may represent an incidental histopathologic finding that should not necessarily raise concern for the development of LS elsewhere.<\/jats:p>","DOI":"10.1111\/cup.70228","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T13:56:08Z","timestamp":1792072568000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lichen Sclerosus\u2010Like Changes in Acrochordons: A Case Series"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3663-3606","authenticated-orcid":false,"given":"Tamar","family":"Gomolin","sequence":"first","affiliation":[{"name":"Department of Pathology Icahn School of Medicine at Mount Sinai West  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1577-5314","authenticated-orcid":false,"given":"Alison T.","family":"Varano","sequence":"additional","affiliation":[{"name":"Department of Dermatopathology Geisinger Medical Center  Danville Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3605-6810","authenticated-orcid":false,"given":"Andrew","family":"Desrosiers","sequence":"additional","affiliation":[{"name":"Department of Dermatopathology Geisinger Medical Center  Danville Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerad M.","family":"Gardner","sequence":"additional","affiliation":[{"name":"Department of Dermatopathology Geisinger Medical Center  Danville Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline M.","family":"Junkins\u2010Hopkins","sequence":"additional","affiliation":[{"name":"Department of Dermatopathology Geisinger Medical Center  Danville Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"issue":"1","key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1007\/s40257-012-0006-4","article-title":"Diagnosis and Treatment of Lichen Sclerosus: An Update","volume":"14","author":"Fistarol S.","year":"2013","journal-title":"American Journal of Clinical Dermatology"},{"issue":"1","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1097\/PAS.0000000000001738","article-title":"Lichen Sclerosus et Atrophicus With Histopathologic Features Mimicking Mycosis Fungoides: A Large Series of Cases Comparing Genital With Extragenital Lichen Sclerosus","volume":"46","author":"Leoni E.","year":"2022","journal-title":"American Journal of Surgical Pathology"},{"key":"e_1_2_9_4_1","doi-asserted-by":"crossref","DOI":"10.3389\/fmed.2023.1106318","article-title":"Lichen Sclerosus: The 2023 Update","volume":"10","author":"De Luca D. 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J.","year":"2020","journal-title":"Gynecologic Oncology"},{"issue":"3","key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/0190-9622(95)90060-8","article-title":"Lichen Sclerosus","volume":"32","author":"Meffert J.","year":"1995","journal-title":"Journal of the American Academy of Dermatology"},{"issue":"3","key":"e_1_2_9_9_1","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1111\/j.1365-2230.1994.tb01183.x","article-title":"Lichen Sclerosus and the K\u00f6bner Phenomenon","volume":"19","author":"Todd P.","year":"1994","journal-title":"Clinical and Experimental Dermatology"},{"issue":"7","key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"e278","DOI":"10.1111\/j.1365-2230.2008.03195.x","article-title":"Squamous Cell Carcinoma Arising in Extragenital Lichen Sclerosus","volume":"34","author":"Sergeant A.","year":"2009","journal-title":"Clinical and Experimental Dermatology"},{"key":"e_1_2_9_11_1","first-page":"981","volume-title":"Lever's Histopathology of the Skin","author":"Elder D. E.","year":"2009"},{"issue":"9","key":"e_1_2_9_12_1","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1001\/archderm.134.9.1118","article-title":"Infantile Pyramidal Protrusion as a Manifestation of Lichen Sclerosus et Atrophicus","volume":"134","author":"Cruces M. J.","year":"1998","journal-title":"Archives of Dermatology"},{"issue":"7","key":"e_1_2_9_13_1","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1001\/jamadermatol.2017.0298","article-title":"Clinical Characteristics of Connective Tissue Nevi in Tuberous Sclerosis Complex With Special Emphasis on Shagreen Patches","volume":"153","author":"Bongiorno M. 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