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We aimed to characterize the clinical features and treatment outcomes in children with LS who presented with urinary symptoms. This retrospective study evaluated 88 children diagnosed with LS at a pediatric nephrology center, all of whom presented with urinary symptoms. Diagnosis was based on clinical and dermatoscopic findings. The mean age at diagnosis was 6.0 years, with a median delay of 8 months. Dysuria (79.5%) and pyuria (87.5%) were the most common symptoms, although only 45.5% had confirmed urinary tract infections. Among 60 patients followed (mean duration = 16.8 months), topical pimecrolimus resolved symptoms in 88.3% and improved skin lesions in 66.6%. Lichen sclerosus should be included in the differential diagnosis for children with urinary symptoms. Clinical awareness and early diagnosis can lead to avoiding unnecessary investigations.<\/jats:p>","DOI":"10.1177\/00099228261452276","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T11:28:13Z","timestamp":1782386893000},"page":"1216-1221","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Lichen Sclerosus: A Common but Often Overlooked Condition in Pediatric Patients"],"prefix":"10.1177","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5375-379X","authenticated-orcid":false,"given":"Beg\u00fcm","family":"Avc\u0131","sequence":"first","affiliation":[{"name":"Department of Pediatric Nephrology, Baskent University, Adana Dr. Turgut Noyan Application and Research Center, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00f6n\u00fcl","family":"Parmaks\u0131z","sequence":"additional","affiliation":[{"name":"Department of Pediatric Nephrology, Baskent University, Adana Dr. Turgut Noyan Application and Research Center, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan \u00d6zkan","family":"Gezer","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Baskent University, Adana Dr. Turgut Noyan Application and Research Center, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Durdu","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Baskent University, Adana Dr. Turgut Noyan Application and Research Center, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayt\u00fcl","family":"Noyan","sequence":"additional","affiliation":[{"name":"Department of Pediatric Nephrology, Baskent University, Adana Dr. Turgut Noyan Application and Research Center, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18137153"},{"key":"e_1_3_2_3_2","volume-title":"StatPearls","author":"Chamli A","year":"2023","unstructured":"Chamli A, Souissi A. 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