Below is an instruction from Human. Write a response.
    ### Instruction:
    What are the symptoms of Lichen sclerosus ?
    ### Response:
    What are the signs and symptoms of Lichen sclerosus? The symptoms are the same in children and adults. Early in the disease, small, subtle white spots appear. These areas are usually slightly shiny and smooth. As time goes on, the spots develop into bigger patches, and the skin surface becomes thinned and crinkled.
    