Benign Vulvar Dermatoses

Rodríguez, María I.; Leclair, Catherine M.

doi:10.1097/ogx.0b013e318240cc72

Cited by 13 publications

(22 citation statements)

References 44 publications

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“…7). 9,13 Other secondary changes associated with LSC include hyperpigmentation or hypopigmentation; depigmented scars can occur if the patient excoriates into the dermis. 13 Diagnostic Studies LSC is usually a clinical diagnosis that can be achieved by eliciting a history of chronic rubbing and scratching and physical examination demonstrating lichenified hairbearing skin.…”

Section: Lscmentioning

confidence: 99%

“…Irreversible scarring can occur in the erosive form of the mucosa as well as with nail and scalp disease resulting in pain and significant psychosocial distress. Women with the 9 Papulosquamous LP of the vulva presents as small, poorly demarcated pink-violaceous papules or plaques, which often demonstrate an overlying white reticulated or net-like plaque termed Wickham striae that is pathognomonic for LP. The most common form of vulvar LP is erosive, and erosions may be seen on the introitus, clitoris, and labia minora (Fig.…”

Section: Managementmentioning

confidence: 99%

“…Other common vulvar irritants include condoms, lubricants, and spermicides. 9 For acute contact dermatitis, physical examination can reveal erythema throughout the vulva, which can extend to the perianal skin and inner thighs (Fig. 6).…”

Section: Presentationmentioning

confidence: 99%

“…Parakeratosis, a superficial perivascular infiltrate, and superinfection with yeast or bacteria can also be seen on histopathologic analysis. 9 Management LSC is a chronic disease that often does not have a true cure. The goal of management is to decrease the severity of symptoms by decreasing the rubbing and scratching.…”

Section: Lscmentioning

confidence: 99%

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Inflammatory Vulvar Dermatoses

Guerrero

Venkatesan

2015

Clinical Obstetrics &Amp; Gynecology

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Inflammatory vulvar dermatoses affect many women, but are likely underdiagnosed due to embarrassment and reluctance to visit a health care provider. Although itch and pain are common presenting symptoms, the physical examination can help distinguish between different disease entities. Because many women's health providers have minimal training in the categorization and management of dermatologic disease, definitive diagnosis and management can be difficult. Herein, strategies for diagnosing vulvar lichen sclerosus, lichen planus, contact dermatitis, lichen simplex chronicus, and psoriasis are discussed along with basic management of these diseases, which commonly involves decreasing inflammation through behavioral change, gentle skin care, topical corticosteroids, and systemic therapies.

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Section: Lscmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

Section: Presentationmentioning

confidence: 99%

Section: Lscmentioning

confidence: 99%

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Inflammatory Vulvar Dermatoses

Guerrero

Venkatesan

2015

Clinical Obstetrics &Amp; Gynecology

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“…Nadiren kaşıntılıdır. Ekstragenital tutulum, anogenital belirtiler ile birlikte veya tek başına görülebilir (11).…”

Section: Klinik Bulgularunclassified

Liken Sklerozus

Ergin¹

2012

Turk J Dermatol

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Öğrenme HedefleriLiken sklerozusun etyopatogenezinde suçlanan faktörlerin belirlenmesi, klinik ve histopatolojik özelliklerinin tanınması, ayırıcı tanısına giren diğer dermatozların dışlanması, dermatozun ve tedavi sırasında ortaya çıkabilecek komplikasyonlarının ayırd edilebilmesi ve algoritmik tedavi programının oluşturulmasıdır. TanımLiken sklerozus (LS); porselen beyazı maküller ile karakterize, progresif, sklerozan inflamatuvar bir dermatozdur (1). Tarihçeİlk kez 1887 yılında, Hallopeau tarafından, liken planusun atrofik formu (lichen plan atrophique) şeklinde rapor edilen hastalığı, AbstractLichen sclerosus is a progressive, inflammatory dermatosis characterized with porcelain white sclerotic plaques most commonly in the anogenital area of postmenopausal women. Children and men can also be affected. Extragenital involvement may occur. Even though the etiology is unknown; autoimmune, genetic, hormonal and infectious factors are suggested. Lichen sclerosus is associated with autoimmune diseases such as thyroid disease, alopecia areata, vitiligo, diabetes and pernicious anemia. An increased incidence of autoantibodies to the extracellular matrix protein 1 is shown in sera of patients with lichen sclerosus. Familial occurence and an association with HLA DQ7 supports the presence of genetic factors in its etiology. However, the role of estrogen and androgens could not be demonstrated as etiologic factors. Clinical similarity with acrodermatitis chronica atrophicans led researches to be held for the detection of Borrelia burgdorferi antibodies ended with conflicting results. Disease may be triggered with trauma in the presence of genetic predisposition. Pruritus is the main symptom. Pain, burning and dysesthesia may occur. Lichen sclerosus may be confused with sexual abuse in girls. Furthermore, it is more severe in the presence of sexual abuse. If not treated it leads to permanent anatomical disorders in the anogenital region. It is one of the most common cause of acquired phimosis in boys. Meatal stenosis and urinary obstruction may develop. Erectile dysfunction and dyspareunia due to introital stenosis may cause psychosexual problems in men and women. Perianal involvement causes constipation in women and girls. Long-standing anogenital lesions have the risk of developing squamous cell carcinoma. Verrucous carcinoma rarely occurs. Extragenital symptoms do not have similar risks. Ultra-potent topical corticosteroids are used as the first line therapy. In the case of unresponsiveness to corticosteroids the alternative approaches are topical immunmodulators, UVA1, calcipotriol, retinoids, and photodynamic therapy. In the presence of neoplasia and other complications surgical interventions are considered. Due to mainly preputial involvement, circumcision is an alternative procedure to topical corticosteroids in men. Often it may be curative. Lichen sclerosus is a disease with serious complications that needs life-long follow-up. Patients should be trained and encouraged for effective participation to the treatment...

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Vulvar Dermatoses: A Primer for the Sexual Medicine Clinician

Spadt

Kusturiss

2015

Sexual Medicine Reviews

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Benign Vulvar Dermatoses

Cited by 13 publications

References 44 publications

Inflammatory Vulvar Dermatoses

Inflammatory Vulvar Dermatoses

Liken Sklerozus

Vulvar Dermatoses: A Primer for the Sexual Medicine Clinician

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