Influence of Treatment of Erosive Lichen Planus of the Vulva on Its Prognosis

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Abstract
Erosive lichen planus of the vulva (ELPV) is a chronic inflammatory, scarring disease and a variant of classic lichen planus. It is characterized by painful vulval introital erosions, edged by a reticulate white border extending into the vagina. The presence of mucosal disease distinguishes lichen planus (LP) from lichen sclerosus, in which vaginal involvement almost never occurs. Scarring may result in marked architectural change with loss of the labia minora, clitoral burying, and narrowing of the introitus. In the presence of oral and vaginal disease, ELPV has been termed the vulvovaginal-gingival syndrome.1 However, not all patients have involvement of all 3 sites; some have vulval and vaginal disease without oral disease, vulval and oral disease without vaginal disease, or vulval disease alone.

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