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Lichen sclerosus.


Authors: M. Pešek;  J. Bouda;  Z. Rokyta
Authors‘ workplace: Gynekologicko-porodnická klinika LF UK a FN Plzeň
Published in: Prakt Gyn 2009; 13(3): 153-157

Overview

Lichen sclerosus (LS) belongs to frequent non‑neoplastic epithelial disorders of the vulva. Patients suffer with intensive pruritus or dyspareunia. Ethiology of LS is unclear, there is a risk of progressive scarring of external genitalia and patients with LS have increased risk of developing squamous cell carcinoma of the vulva (3–5%). A potent local corticosteroid is a treatment of choice. Frequent reccurences require repeated therapy. A close follow‑up in a 6-months intervals and biopsy of all atypical lesions is required. Surgery is rarely indicated in the management of LS.

Key words:
lichen sclerosus – non‑neoplastic epithelial disorders – clobetazol propionate – tacrolimus


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