Introduction
This is the conversation every parent, provider, and advocate needs to hear. Pediatric vulvar lichen sclerosus is a condition that’s often misunderstood, overlooked, or misdiagnosed — but today, we’re breaking it wide open. From understanding how pediatric cases differ from those of adults, to compassionate examination approaches, effective treatments, and adapting care for families in real-world circumstances, you will walk away informed, confident, and empowered.
We’re thrilled to be joined by Dr. Kalyani Marathe, MD, MPH, an absolute leader in pediatric dermatology. Kalyani Marathe, MD, MPH, is a pediatric dermatologist and Division Director of Dermatology at Cincinnati Children’s Hospital. She is an Associate Professor of Dermatology and Pediatrics affiliated with the University of Cincinnati. She has a monthly multidisciplinary vulvar dermatology clinic, co-led by a pediatric gynecologist, Dr. Christine Pennesi. Her academic interests include pediatric vulvar disease, atopic dermatitis, psoriasis, genetic skin disorders, birthmarks, hemangiomas, drug eruptions, and infections in hospitalized patients. She is an invited speaker on pediatric dermatology topics both regionally and nationally.
*Disclaimer: This video is for educational and entertainment purposes only. Please consult with your medical provider before making any changes to your health plan.
Important Links for Pediatric Vulvar Lichen Sclerosus: With Expert Dr. Kalyani Marathe
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Timestamps
0:00 – Introduction
2:34 – Introducing Dr. Marathe
7:44 – What pediatric lichen sclerosus is and how it presents
15:23 – Comorbidities
17:09 – Early lichen sclerosus warning signs to look out for in your child or teen
19:50 – Soreness and burning in children and teens with vulvar lichen sclerosus
21:27 – Differences between adult and pediatric vulvar lichen sclerosus
31:34 – Diagnosing pediatric vulvar lichen sclerosus
34:20 – When are pediatric vulvar exams warranted, and how to do them
37:23 – What kind of doctor should caregivers look for
42:00 – First-line treatment for pediatric vulvar lichen sclerosus & side effect management
47:47 – Second-line treatments & maintenance 51:30 – Ensuring the proper diagnosis when new symptoms come up
56:00 – Day-to-day lifestyle tips
58:06 – Prognosis and words of hope
1:00:56 – Outro
Conclusion on Pediatric Vulvar Lichen Sclerosus: With Expert Dr. Kalyani Marathe
Caring for a child or teen with vulvar lichen sclerosus can feel overwhelming at times — from navigating the uncertainty of symptoms to finding the right treatments and supporting your child’s emotional well-being. But here’s the good news: with early diagnosis, proper treatment, and compassionate care, children with VLS can live whole, healthy, and confident lives.
You are not alone in this journey. Specialists like Dr. Marathe and others are working tirelessly to improve care, raise awareness, and expand treatment options. The conversations we’re having now are paving the way for better outcomes and stronger support systems for families like yours.
Most importantly, remember this: your love, advocacy, and attentiveness make a world of difference. With you by their side, your child has every reason to feel safe, supported, and hopeful about their future.
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Email: jaclyn@lostlabia.com & @thelostlabiachronicles on Instagram & TikTok
