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Vulva dystrophy lichens treatment

Basal cell layer shows some areas of vacuolar degeneration. Therefore, time should be given for exhaustive explanations about etiology, nature, and course of the disease and consequences, if any, on sexual life. Reports contain various definitions of "lichen sclerosus," "kraurosis vulvae," "gross atrophy," "simple atrophy," "senile atrophy," and "vaginal dystrophy. Surg Clin North Am ; 2: Years Published , , , ,
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What Causes Lichen Planus?

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Vulvar Dermatoses

A large number and variety of adnexal structures are associated with vulvar skin in its different sections, such as pilosebaceous units, sebaceous and sweat glands, mucous secretory glands, muscle fibers, and deeper major or minor vestibular glands. Swelling of the skin, overgrowth of skin epidermal hyperkeratosis , loss of skin tissue, atrophy , and inflammation are accompanied by soreness and itching. Older age and epithelial hyperplasia are independent risk factors. Lichen sclerosus, lichen planus, and lichen simplex chronicus are three of the most common non-neoplastic epithelial disorders of the vulva. For information about the SORT evidence rating system, see https: This reduces secondary effects risk of long-term use and leaves therapeutic margin if disease gets more active later. Symptoms include large patches of thickened, scaly, darkened or reddened skin caused by repetitive scratching.
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[Oral treatment of vulvar dystrophy with an aromatic retinoid, etretinate].

While there is no absolute cure for lichen sclerosus, symptoms can be controlled with topical medications so that scarring and discomfort can be prevented. On close inspection, the skin has a patchy white discoloration. When found in males, the disease is known as balanitis xerotica obliterans. Vagina is never affected. Pathology is the only reliable key for diagnosis and requires scattered large clear muciparous cells with nuclear atypia, inside the epidermis Figure 3 b. The tongue may also be involved.
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Differential diagnosis in dermatopathology. Lichen planus is not contagious and cannot be passed to a sexual partner. Scand J Immunol ; 4: However, it seems reasonable to assess that this risk has been overestimated. Recurrent symptoms are common. In young women, clinical presentation is not especially different than in elderly, but special attention should be paid to long-term risk of atrophic changes due to their effect on sexual life.
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