Ledwig P A, Weigand D A
Veterans Administration Medical Center, Oklahoma City, OK.
J Am Acad Dermatol. 1989 Feb;20(2 Pt 1):211-4. doi: 10.1016/s0190-9622(89)70024-4.
We retrieved the records of 20 cases of lichen sclerosus et atrophicus of the penis from pathology service files at five metropolitan hospitals. Histologic sections were available for study in 16 cases. All patient records were available. All cases except one (that of a 14-year-old boy) occurred in men aged 34 to 77 years. Most of the patients (14) were circumcised for phimosis, often with meatal stenosis, and the diagnosis was made on the foreskin specimen. The remaining six patients had already been circumcised, at ages 32 to 54 years, and had lichen sclerosus et atrophicus of the glans penis. Therefore in this series of patients, the condition occurred only in patients circumcised late in life. This must be considered when a decision about neonatal circumcision is made.
我们从五家大都市医院的病理科档案中检索了20例阴茎硬化性苔藓萎缩症的记录。16例有组织学切片可供研究。所有患者的记录均可用。除1例（一名14岁男孩）外，所有病例均发生在34至77岁的男性中。大多数患者（14例）因包茎接受了包皮环切术，常伴有尿道口狭窄，诊断是基于包皮标本做出的。其余6例患者在32至54岁时已接受过包皮环切术，患有阴茎头硬化性苔藓萎缩症。因此，在这组患者中，该疾病仅发生在成年后才接受包皮环切术的患者中。在做出新生儿包皮环切术的决定时必须考虑到这一点。
