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The papillary and reticular dermis are the two layers of the dermis. They are made of connective tissue with fibers of collagen extending from one to the other, making the border between the two somewhat indistinct. The dermal papillae extending into the epidermis belong to the papillary layer, whereas the dense collagen fiber bundles below belong to the reticular layer.
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Articles linked to this work by shared authors, journal, and citation graph.

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Plasma Cell Vulvitis: A Classification Into Two Clinical Phenotypes.

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Nocturnal Vulval Pain in Girls-A Subset of Vulvodynia?

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Are virtual consultations suitable for patients with vulval disease? A multicentre audit of outcomes in the COVID-19 pandemic.

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Adult Vulvar Lichen Sclerosus: Can Experts Agree on the Assessment of Disease Severity?

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Updated: Apr 25, 2026

Author Spotlight: Dermatopathology and the Treatment of Sexually Transmitted Diseases
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Author Spotlight: Dermatopathology and the Treatment of Sexually Transmitted Diseases

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Vulvar dermatosis.

Micheline Moyal-Barracco1, Jeanne Wendling1

  • 1Department of Dermatology, Hôpital Tarnier Cochin, 89 rue d'Assas, 75006 Paris, France.

Best Practice & Research. Clinical Obstetrics & Gynaecology
|August 19, 2014
PubMed
Summary

Vulvar dermatoses cause chronic itching and soreness. While typically benign, conditions like lichen sclerosus and lichen planus may rarely lead to vulvar cancer, and their treatment

Area of Science:

  • Dermatology
  • Gynecologic Oncology

Background:

  • Vulvar dermatoses are inflammatory conditions causing chronic itching and soreness.
  • Lesions may be localized or widespread, aiding diagnosis.
  • Distinguishing from infectious or neoplastic conditions is crucial.

Purpose of the Study:

  • To review the characteristics and management of vulvar dermatoses.
  • To highlight the potential malignant transformation of specific vulvar dermatoses.
  • To discuss the role of topical corticosteroids in treatment.

Main Methods:

  • Literature review of vulvar dermatoses.
  • Analysis of diagnostic criteria and differential diagnoses.
  • Evaluation of treatment modalities and potential long-term outcomes.
Keywords:
dermatosislichen planuslichen sclerosuslichen simplex chronicuspsoriasisvulva

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Main Results:

  • Vulvar dermatoses present with itching and soreness, requiring differentiation from other diseases.
  • Lichen sclerosus and lichen planus are notable for a rare risk of evolving into squamous cell carcinoma.
  • Topical corticosteroids are the primary treatment for vulvar dermatoses.

Conclusions:

  • Prompt diagnosis and management of vulvar dermatoses are essential.
  • The precancerous potential of lichen sclerosus and lichen planus necessitates vigilance.
  • Further research is needed to determine if treating these conditions prevents cancer.