Objective: Lichen sclerosus (LS) is a chronic inflammatory disease of the skin that most commonly affects the anogenital area. Approximately 7%to 15% of cases affect children (1, 2). The estimated rate of extragenital LS in adults and children with anogenital involvement is 15-20%(3). We hypothesized that the prevalence of extragenital LS in patients with anogenital symptoms is higher in children than previously estimated. Methods: We conducted a retrospective chart review of pediatric patients with LS over the past 4 years; 12 cases were found. Results: Extragenital LS was diagnosed clinically and/or histologically in 7 of our 12 patients with LS. None of our patients had sole extragenital involvement. Conclusion: The prevalence of extragenital LS with anogenital lesionsmay be higher in children than previously reported