Genital lichen planus: An underrecognized entity.
Ananta Khurana1, Sidharth Tandon2, Yogesh S Marfatia3
1Department of Dermatology, Venereology and Leprosy, Postgraduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India.
Indian Journal of Sexually Transmitted Diseases and AIDS
|January 11, 2020
Summary
Genital lichen planus (LP) is often misdiagnosed due to its atypical appearance. Early diagnosis and management are crucial, especially for the erosive form, to prevent scarring and improve quality of life.
Area of Science:
- Dermatology
- Vulvar pathology
Background:
- Genital lichen planus (LP) is an underrecognized skin condition.
- Its presentation often differs from classical LP, leading to delayed diagnosis.
Purpose of the Study:
- To highlight the diagnostic challenges and management considerations for genital lichen planus.
- To emphasize the importance of recognizing vulvo-vaginal LP and its potential complications.
Main Methods:
- Review of clinical presentations and treatment approaches for genital LP.
- Discussion of diagnostic criteria and differential diagnoses.
Main Results:
- Genital LP, particularly vulvo-vaginal LP, can cause significant distress, scarring, and reduced quality of life.
- The erosive variant presents treatment challenges with often disappointing outcomes and a prolonged disease course.
Conclusions:
- Genital LP requires increased clinical awareness for timely diagnosis and management.
- Close follow-up is essential due to the potential for disease progression and malignant transformation, similar to oral LP.
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