Clinicopathologic Diagnostic Criteria for Vulvar Lichen Planus.

Objective: The aim of the study was to describe the clinical and histopathologic features required for a clinicopathologic diagnosis of vulvar lichen planus (LP), which is divided into 3 types: erosive, classic, and hypertrophic.

Materials And Methods: The International Society of the Study of Vulvovaginal Diseases tasked the Difficult Pathologic Diagnoses committee with development of a consensus document for the clinicopathologic diagnosis of vulvar LP, lichen sclerosus, and differentiated vulvar intraepithelial neoplasia. The LP subgroup reviewed the literature and formulated diagnostic criteria, then approved by the International Society of the Study of Vulvovaginal Diseases membership.

Diagnostic criteria in 72 women with erosive vulvovaginal lichen planus.

Background: Erosive vulvovaginal lichen planus (EVLP) is a chronic, painful dermatosis affecting mucocutaneous sites. Clinicopathological diagnostic criteria have been described on the basis of expert consensus. The aim of this study was to review the presentation of EVLP, particularly assessing the frequency of suggested diagnostic criteria.

Vaginal stenosis after toxic epidermal necrolysis.

A 17-year-old adolescent girl developed severe toxic epidermal necrolysis after inhalation of methamphetamine. Recovery was complicated by vaginal synechiae and occlusion necessitating surgery.

Women's perception of the outcome of the surgical management of vulvar intraepithelial neoplasia.

Objective: To assess women's perception of the effects of vulvar surgery for vulvar intraepithelial neoplasia (VIN).

Study Design: Women attending a vulvar clinic for routine follow-up after surgical treatment of VIN were invited to respond to a brief questionnaire relating to their perception of vulvar appearance and sexual function. Clinical details, including the patients' age, parity, the focality and size of the lesion, types of treatment and length of follow-up, were extracted from the medical records.

Lipedematous scalp in a child.

A nine year old Maori girl was noted to have a spongy consistency to her posterior scalp. The overlying skin appeared normal, as was hair growth in that area. The abnormal findings became more extensive over the subsequent year.

Vulvar intraepithelial neoplasia: aspects of the natural history and outcome in 405 women.

Objective: To determine the clinical characteristics, outcome following surgical treatment, and natural history of cases of untreated vulvar intraepithelial neoplasia (VIN).

Methods: Four hundred five cases of VIN 2-3 seen between 1962 and 2003 were reviewed.

Results: The mean age of women with VIN decreased from 50.

Clinically identifying women with vulvar lichen sclerosus at increased risk of squamous cell carcinoma: a case-control study.

Objective: To identify clinical factors that might identify women with vulvar lichen sclerosus who are at increased risk of developing squamous cell cacinoma.

Study Design: A retrospective, case-control study compared 46 women presenting between 1992 and 2000 with clinical and histologic evidence of squamous cell carcinoma of the vulva arising in a background of lichen sclerosus and 213 new referrals with vulvar lichen sclerosus during the same period.

Results: The ages of the patients and presence of clinical hyperplasia were the only differences between the 2 groups.

Idiopathic granulomatous vulvitis.

A 20-year-old woman initially presented with clinical evidence of an acute vulval inflammatory disorder incorrectly diagnosed as a Bartholin's abscess. Prolonged healing associated with infection followed attempts to incise and biopsy the area. Over a decade the condition has followed a chronic course with exacerbations and remissions and the vulva has become progressively more swollen and distorted.