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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Investigations In many cases the diagnosis is clinical, however, if a biopsy is needed the characteristic feature is a band of hyalinization of the dermal collagen below the epidermis Management Extra-genital lichen sclerosus Topical treatments are generally much less effective than when used to treat genital LS