Lichen sclerosus and lichen planus in women and girls

Bethanee J. Schlosser*, Ginat W. Mirowski

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Lichen planus and lichen sclerosus are common, chronic inflammatory vulvar dermatoses with significant morbidity. The course may wax and wane but disease often persists for decades. These autoimmune diseases have varied clinical presentations that extend beyond the genitalia. Management is best undertaken using a multidisciplinary approach and active patient involvement. The first-line treatment of both conditions is superpotent topical corticosteroids. Supportive measures and adjunct therapies can optimize patient outcomes. Patients who fail to improve despite correct medication use should be re-evaluated, and clinicians should be vigilant in detecting concomitant contact dermatitis, secondary infection, and malignancy.

Original languageEnglish (US)
Pages (from-to)125-142
Number of pages18
JournalClinical Obstetrics and Gynecology
Volume58
Issue number1
DOIs
StatePublished - Mar 2 2015

Keywords

  • Lichen sclerosus
  • dermatology
  • lichen planus
  • lichen sclerosus et atrophicus
  • vagina
  • vulva

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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