Clinical patterns of lichen planopilaris in patients with vulval lichen planus

Chew, Ai-Lean; Stefanato, Catherine M.; Savarese, Imma; Neill, Sallie; Fenton, David A.; Lewis, Fiona M.

doi:10.1111/bjd.12609

Cited by 20 publications

(8 citation statements)

References 5 publications

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“…On the skin, LP is characterized by a symmetrical rash of pruritic, purple, polygonal flat-topped and shiny small papules involving preferentially the flexor aspects of the wrists, forearms, extensor aspects of the ankles and hands and the lumbar area. Scalp lesions were [41]. Erosive LP may rarely involve the oesophagus (mainly the upper third) and should be suspected in the case of dysphagia in patients with EAVLP [42,43].…”

Section: Signsmentioning

confidence: 99%

Vulvar dermatosis

Moyal‐Barracco¹,

Wendling²

2014

Best Practice & Research Clinical Obstetrics & Gynaecol

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Vulvar dermatoses are inflammatory conditions responsible for chronic or recurrent itching and soreness. The lesions are either circumscribed to the vulva or associated with extragenital localizations which may help to assess the diagnosis. They should be differentiated from infectious or neoplastic diseases which may have clinical similarities. As opposed to the majority of all dermatoses that have a benign and regular course, lichen sclerosus or lichen planus could exceptionally foster the occurrence of an epithelial cancer precursor which may evolve to squamous cell carcinoma. Topical corticosteroids are the mainstay treatment of vulvar dermatosis. We do not know if the treatment of vulvar lichen sclerosus and vulvar lichen planus prevents squamous cell carcinoma.

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Section: Signsmentioning

confidence: 99%

Vulvar dermatosis

Moyal‐Barracco¹,

Wendling²

2014

Best Practice & Research Clinical Obstetrics & Gynaecol

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“…There are sparse data in the literature indicating a higher prevalence of scalp and nail lesions in the course of vulval LP than in typical mucosal LP (28,29,32). However, none of these studies focused on lichen planopilaris.…”

Section: Discussionmentioning

confidence: 99%

Vulvovaginal-gingival Lichen Planus: Association with Lichen Planopilaris and Stratified Epithelium-specific Antinuclear Antibodies

Olszewska¹,

Banka-Wrona²,

Skrok³

et al. 2016

Acta Derm Venerol

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Vulvovaginal-gingival lichen planus (VVG-LP) consists of a triad of symptoms: vulval, vaginal and gingival lichen planus lesions. The aim of this study was to analyse the prevalence of lesions in various anatomical locations in patients with VVG-LP. The study included 126 consecutive patients with lichen planus. Sixteen (12.7%) patients fulfilled the criteria of VVG-LP. In 12/16 (75%) patients with VVG-LP scalp lesions were also observed. Stratified epithelium-specific antinuclear antibodies (SES-ANA) and anti-ΔNp.3α antibodies were detected in 10/16 (75%) patients with VVG-LP and in 15/110 (13.6%) patients with other forms of lichen planus (p < 0.05). In conclusion, VVG-LP is frequently associated with lichen planopilaris. The new entity may be termed "vulvovaginal-gingival-pilar lichen planus" and our study indicates that SES-ANA is a marker of this type of lichen planus with extensive, severe and refractory-to-therapy involvement of the mucous membranes, skin and scalp.

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“…Histological similarity with Lichen Planopilaris (LPP) as well as increased association of FFA with vulvar and oral LP suggest it is part of the LP spectrum [3].…”

Section: Discussionmentioning

confidence: 99%

Vitiligo-Like Patches due to Epidermal Interface Changes in Frontal Fibrosing Alopecia: Further Evidence of Non-Follicular Involvement

R¹

2015

Pigmentary Disorders

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Clinical patterns of lichen planopilaris in patients with vulval lichen planus

Cited by 20 publications

References 5 publications

Vulvar dermatosis

Vulvar dermatosis

Vulvovaginal-gingival Lichen Planus: Association with Lichen Planopilaris and Stratified Epithelium-specific Antinuclear Antibodies

Vitiligo-Like Patches due to Epidermal Interface Changes in Frontal Fibrosing Alopecia: Further Evidence of Non-Follicular Involvement

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