Erosive Lichen Planus

Obstet Gynecol Clin North Am. 2017 Sep;44(3):407-420. doi: 10.1016/j.ogc.2017.04.004.

Abstract

Lichen planus is an inflammatory mucocutaneous condition with a myriad of clinical manifestations. There are 3 forms of lichen planus that effect the vulva: papulosquamous, hypertrophic, and erosive. Erosive lichen planus can progress to vulvar scaring, vaginal stenosis, and squamous cell carcinoma; these long-term sequelae cause sexual distress, depression, and decreased quality of life for patients. Diagnosis is often delayed because of patient embarrassment or clinician misdiagnosis. Early recognition and treatment is essential to decreasing the morbidity of this condition. Multimodal treatment, along with a multidisciplinary approach, will improve outcomes and further clinical advances in studying this condition.

Keywords: Erosive lichen planus; Mucosal lichen planus; Scaring; Vulva.

Publication types

  • Review

MeSH terms

  • Female
  • Humans
  • Lichen Planus / complications
  • Lichen Planus / diagnosis*
  • Lichen Planus / pathology
  • Lichen Planus / therapy
  • Vulvar Diseases / complications
  • Vulvar Diseases / diagnosis*
  • Vulvar Diseases / pathology
  • Vulvar Diseases / therapy