Etiology, Clinical Features, and Diagnosis of Vulvar Lichen Sclerosus: A Scoping Review
Joint Authors
Singh, Nilanchali
Ghatage, Prafull
Source
Obstetrics and Gynecology International
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-04-21
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Objective.
Vulvar lichen sclerosus (VLS) is a chronic inflammatory disorder, which affects women of all ages.
With numerous controversies as regards to the nomenclature, diagnosis and its association with neoplastic conditions, we decided to conduct a scoping review on this subject.
Data Source.
A review protocol was developed, and the Knowledge Resource Services website was used to do a search of articles pertaining to VLS with keywords “Vulvar,” “Vulval,” “diagnosis,” “lichen sclerosus et atrophicus,” “kraurosis,” “vulvar dystrophy,” and “Lichen Sclerosus”.
Study Selection.
The search was limited to published data from the last ten years, i.e., from July 2009 onwards and in the English language.
A total of 338 articles pertaining to VLS were obtained.
Older data were accessed if particular information was sought for.
Results & Conclusion.
The presentation is bimodal, i.e., one in prepubertal girls (average age: 7.6 years) and the other in peri- and postmenopausal women (average age: 52.6 years).
However, many cases also present during reproductive years.
Studies suggest a multifactorial origin as far as etiology is concerned, including a genetic, autoimmune, hormonal, and local infectious background.
It affects the genital labial, perineal, and perianal areas and manifests as a patchy, thin, glistening, ivory-white area.
Diagnosis is mainly based on clinical features.
Biopsy is seldom required.
It has been well established as a precursor lesion of dVIN and vulvar carcinoma.
American Psychological Association (APA)
Singh, Nilanchali& Ghatage, Prafull. 2020. Etiology, Clinical Features, and Diagnosis of Vulvar Lichen Sclerosus: A Scoping Review. Obstetrics and Gynecology International،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1203384
Modern Language Association (MLA)
Singh, Nilanchali& Ghatage, Prafull. Etiology, Clinical Features, and Diagnosis of Vulvar Lichen Sclerosus: A Scoping Review. Obstetrics and Gynecology International No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1203384
American Medical Association (AMA)
Singh, Nilanchali& Ghatage, Prafull. Etiology, Clinical Features, and Diagnosis of Vulvar Lichen Sclerosus: A Scoping Review. Obstetrics and Gynecology International. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1203384
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1203384