FAQ - Vulvar Lichen Sclerosus
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Lichen Simplex Chronicus symptom in my pubic region. Please advice how to get rid of it.?


My wife had been experiencing it over a month now. We are married for a year and half. I have observed that she maintains genital cleanliness always, in spite of which this happened.
People please advice on is cure.
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Being extra clean may contribute. Excessive washing or rubbing or scratching leads to thickening of the skin called lichen simplex chronicus. Must avoid scratching and rubbing. Often there is enough itch that it requires medication to help, or the urge to scratch overpowers the willpower to not scratch. The doc who made the diagnosis should give a medication to help stop the itch. If the diagnosis was made by looking on the internet, it's time to verify it by a dermatologist.  (+ info)

What is the best treatment and/or medication for lichen schlerosus?


First, it's sclerosus. Second, the best treatment woud be an anti-inflammatory cream or a cream with a cortisone base since it probably really itches. Your dermatologist should know this  (+ info)

What is vulvar adenoid cystic carcinoma and what is its prognosis and treatment?


go to webmd.com .very helpful site  (+ info)

Difference between vulvodynia, vulvar vestibulitis and vestibulodynia?


I get confused with these terms, any ob/gyn that can answer my question. Thanks in advance.
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vulvodynia is a sindrome of inexplained chronic vulvar pain depending of the severity of the sintoms experience chronic vulvar pain can be phisically and emotionally dissabling.
the patient whit the problem of vulvar burning, iching, irritation and dyspareunia has ben the source of great frustration for years.
for patients livingwhit the sintoms of cronic vulvar paint the experience has obten disabling and personally desvastating.
vulvodynia is vulvovaginal disease, [isssud] has proposed certain changes to the clasication the general category of vulvodynia, was divide into threereconized subsets consisting of the following:
1=vulvar vestibulitis sindrome; defined by pain localized to the vestibule and elicited by touch, presure, or friction.
2=dysesthetic vulvodynia-[also known as essential or idipathic vulvodynia]. defined by vulvar pain which was not` confined to the vestibule and was migratory and tended to initially present as episodic but gradaually tended to become low grade continuos pain.
3= ciclic vulvitis, characterized by ciclic vulvar pain , which occurs in concert whit the menstrual cycle and associated whit low grade candidiasis. the last category has been removed from the new proposed classification of vulvodynia as it considered to be and underlying recognizable problem as sclerosus and lichenplames are reconogzables specific disease. to be an vestibulodynia.[ formarly vulvar vestibulitis] refere paint can be presure mopped to one more portions of vulvar vestibule clitordynia can be paint presure mapped to the clitoris other localized forms of vulvar dysesthesia.
ok` bless you.  (+ info)

Does anyone out there have a skin condition called Lichen Planus ?


I have had this condition on one leg for at least 10 years. I have seen numerous dermatologists, nothing helps. Does anyone have any home remedy for this condition ?
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I don't know of any home remedies, but I found this from Medline and a mention of menthol-lotions in the 2nd link.

Good Luck!  (+ info)

Vulvar area is realy itchy and one side has turned white?


im realy worried as typed the problem in the internet and vulvar cancer kept coming up.
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This sounds like thrush. You should go to your doctor as this can be treated by taking only one tablet. If you have been on antibiotics recently or whatever this can bring on thrush. Try not to worry but you would be better going to your doctor.  (+ info)

Are there any home remedies to help Lichen Planus ?


Thanks alot : ) My Mum has been using Palomar E creame
& it doesn't seem to be working although she has only used it for a few days lol ! She has also tried Salt Water/Cider Vinegar etc..
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  (+ info)

Will a tattoo trigger lichen planus?


I have lichen planus but i have been taking meds that my dermatologist prescribed. The rashes have healed but of course the scars are still there. I plan on getting a tattoo in the near future (not in an area where i have had an lp rash) I was wondering if a tattoo would trigger new lichen planus outbreaks.
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Does anyone know where the genital problem "Lichen Campus" comes from, and how to prevent it from reappearing?


My doctor and Web MD did not give much information at all - I know that Triamcinolone Cream works to get rid of it - eventually, but how do I prevent it in the first place?
My mistake ! It actually is called "Lichen Planus" ... sorry, I guess my mind is actually the problem LOL.
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lichen planus is just one of those things. its often idopathic as in has no cause. its harmless in most cases so i wouldnt worry about it!  (+ info)

What is the difference between lichen planus (LPP)& lupus erythematosus (LE)?


I would also like to know what is blaschkoid LE. are both LP & BLE autoimmune diseases ? What are the remedies ?
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More detailed info can be found at: http://www.maxillofacialcenter.com/BondBook/mucosa/lichenplanus.html

Lichen planus is a lichenoid autoimmune mucositis with a clinically different but microscopically similar dermal counterpart. On the skin the disease is usually of shorter duration, approximately 3 years, and does not have the ulcerating and blistering effects seen frequently in oral lesions. In the mouth lichen planus has several clinical variants with considerable cross-over between variants, and with occasional shifting from one variant to another. Some of these variants are thought to represent an elevated cancer risk but there is ongoing debate as to the validity of this hypothesis.

Some cases have obvious etiologic associations, usually a systemic medication or mucosal contact with dental materials or certain spices, but the etiology in most cases remains unknown. There is no strong association between oral and dermal lesions and most persons with oral involvement never have skin involvement. Oral lichen planus can be found in 1/1,000 adults (Table 1).

Discoid and systemic lupus erythematosus may present with oral keratotic and ulcerative lesions which are clinically identical to lichen planus and show a strong histopathologic similarity as well. Elongated, thin rete ridges are more likely to be associated with lupus, as is deep extension of the subepithelial lymphocytic band, especially with lymphoid aggregates present. Rete hyperplasia in lupus may, in fact, be so extensive that dyskeratosis occurs and the epithelium takes on the localized appearance of pseudoepitheliomatous hyperplasia. Thickened or degenerated endothelium with perivascular infiltrates is, of course, very helpful for the identification of lupus vasculitis, but these changes are often missing in oral examples. Cutaneous lupus lesions usually show a positive IgG and IgA reactivity along the basement membrane, and a patchy band of complement reactivity may be seen on immunofluorescence. Circulating anti-nuclear antibodies may also be present in cases of systemic disease, but an extensive discussion of the extraoral characteristics of lupus is beyond the scope of the present chapter.

Lichen sclerosus et atrophicus is the final lesion to differentiate from oral lichen planus. Extremely rare in the mouth, this typically genital mucositis may be clinically indistinguishable from oral lichen planus. The epithelium is uniformly atrophic, often extremely so, and only a thin layer of surface keratin is seen. There is typically extensive subepithelial fibrosis or hyalinization and a lesser inflammatory infiltrate is noticed; the infiltrate is often separated from the epithelium by a hyalinized band. Subepithelial hyalinization is also a feature of systemic sclerosis or scleroderma, amyloidosis and oral submucous fibrosis. Congo red birefringence and thioflavin T fluorescence can help to rule out amyloidosis, but differences in clinical features may be needed to rule out the other disorders.


There is no cure for this disease and therapy is only palliative. Fortunately, oral lichen planus lesions wax and wane, and are typically asymptomatic. For those patients suffering from tenderness and sensitivity to acidic foods, topical or systemic prednisolone is usually effective but should be used sparingly because of the potential systemic side effects. Persons affected with oral lesions seldom develop skin lesions, although the clinician should be on the lookout for evidence of lupus erythematosus during follow-up examinations, especially in patients with arthritic joint pains.

For patients with atrophic or ulcerative or bullous forms of the disease, an examination for early oral cancer should be performed every 4-6 months. This follow-up may entail repeat biopsies of areas of unhealing ulceration, induration or deep erythema. The estimated risk of malignant transformation, if real, is less than 2% over a 10 year period. Lichen sclerosus et atrophicus of the mouth carries no malignant potential, as it does in the genital region.

2nd part of your question:

Widespread Blaschkoid lichen planus by
Heather A Klein MD, Richard A Krathen MD, Sylvia Hsu MD
Dermatology Online Journal 12 (7): 17:

this info can be found here: http://dermatology.cdlib.org/127/case_presentations/blashkoid/klein.html

Lichen planus is a cutaneous and mucous-membrane disorder of unknown etiology characterized by pruritic, planar, polygonal, purple papules that upon close examination have a white lacy reticular surface. Several variants have been described, including linear lichen planus sometimes following Blaschko lines. Blaschko lines, distinct from Voight lines, Langer lines, and the lines of innervation of the spinal nerves, follow a V-shape on the back, an S-shape on the abdomen, an inverted U-shape on the upper chest, and a linear pattern down the front and back of the lower extremities [1]. Long et al. reported linear lichen planus following Blaschko lines, as in our patient [2]. This patient's lesions were not confined to one side of the body, but rather began on the right side of the chest and spread to the trunk, arms, left thigh, left foot, and third finger of both hands.

This patient was given a 3-week course of prednisone 40 mg daily with clinical and symptomatic improvement, at which time the patient was tapered off prednisone over the next few weeks.

Blaschko's lines, also called the Lines of Blaschko, are an extremely rare and unexplained phenomenon of human anatomy first presented in 1901 by German dermatologist Alfred Blaschko. Neither a specific disease nor a predictable symptom of a disease, Blaschko's lines are an invisible pattern built into human DNA[citation needed]. Many inherited and acquired diseases of the skin or mucosa manifest themselves according to these patterns, creating the visual appearance of stripes.

The cause of the stripes is thought to result from mosaicism; they do not correspond to nervous, muscular, or lymphatic systems. What makes them more remarkable is that they correspond quite closely from patient to patient, usually forming a "V" shape over the spine and "S" shapes over the chest, stomach, and sides.  (+ info)

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