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All patients with symptoms or signs suspicious of lichen sclerosus should be seen at least once initially by a physician with a special interest in the disease in order to avoid delay in diagnosis, as early treatment may cure the disease in some and reduce or prevent scarring. The diagnosis is made clinically in most cases. Biopsies should only be performed under certain circumstances. The gold standard for treatment remains potent to very potent topical steroids; however, mild and moderate disease in boys and men may be cured by circumcision. Certain triggers should be avoided. <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.euroderm.org\/images\/stories\/guidelines\/2014\/S3-Guideline-on-Lichen-sclerosus.pdf\">http:\/\/www.euroderm.org\/images\/stories\/guidelines\/2014\/S3-Guideline-on-Lichen-sclerosus.pdf<\/jats:ext-link> <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.awmf.org\/fachgesellschaften\/mitgliedsgesellschaften\/visitenkarte\/fg\/deutsche-gesellschaft-fuer-gynaekologie-und-geburtshilfe-dggg.html\">http:\/\/www.awmf.org\/fachgesellschaften\/mitgliedsgesellschaften\/visitenkarte\/fg\/deutsche-gesellschaft-fuer-gynaekologie-und-geburtshilfe-dggg.html<\/jats:ext-link>.<\/jats:p>","DOI":"10.1111\/jdv.13136","type":"journal-article","created":{"date-parts":[[2015,7,23]],"date-time":"2015-07-23T03:41:06Z","timestamp":1437622866000},"source":"Crossref","is-referenced-by-count":266,"title":["Evidence\u2010based (S3) Guideline on (anogenital) Lichen sclerosus"],"prefix":"10.1111","volume":"29","author":[{"given":"G.","family":"Kirtschig","sequence":"first","affiliation":[{"name":"Centre of Evidence Based Dermatology University of Nottingham Nottingham UK"},{"name":"Institute of General Practice and Interprofessional Care University of T\u00fcbingen T\u00fcbingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Becker","sequence":"additional","affiliation":[{"name":"(representing the Deutsche Gesellschaft f\u00fcr Kinderchirurgie) Office for Paediatric surgery Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"G\u00fcnthert","sequence":"additional","affiliation":[{"name":"(representing the Deutsche Gesellschaft f\u00fcr Gyn\u00e4kologie und Geburtshilfe, DGGG) Deptartment of Obstetrics and Gynecology Cantonal Hospital of Lucerne Lucerne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Jasaitiene","sequence":"additional","affiliation":[{"name":"(representing the Lithuanian Association of Dermatovenereologists) Department of Skin and Venereal Diseases of Republican Hospital of Panevezys Panevezys Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Cooper","sequence":"additional","affiliation":[{"name":"Department of Dermatology Oxford University Hospitals NHS Trust and University of Oxford Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.\u2010C.","family":"Chi","sequence":"additional","affiliation":[{"name":"Department of Dermatology Chang Gung Memorial Hospital Chiayi Taiwan"},{"name":"College of Medicine Chang Gung University Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Kreuter","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology, and Allergology HELIOS St. Elisabeth Hospital Oberhausen Oberhausen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.K.","family":"Rall","sequence":"additional","affiliation":[{"name":"Research Centre and Department for Women's Health University Hospital T\u00fcbingen T\u00fcbingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Aberer","sequence":"additional","affiliation":[{"name":"Department of Dermatology Medical University of Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Riechardt","sequence":"additional","affiliation":[{"name":"(representing the Deutsche Gesellschaft f\u00fcr Urologie) Department of Urology and paediatric Urology University of Hamburg Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Casabona","sequence":"additional","affiliation":[{"name":"Dirigente Medico S. 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