Vaginal lichen planus: preservation of sexual function in severe disease

Abstract

Lichen planus is a multisystem disease. Often genital involvement is missed or misdiagnosed. It can be rapidly progressive with high patient morbidity. This case highlights the importance of a multidisciplinary approach and the effectiveness of combined surgical and medical treatment with close patient follow-up and support.

Figure 1

(A) Erosive vaginal lichen planus. (B) Erosive vaginal lichen planus with fissuring and narrowing of the interoitus. Courtesy of Dr A Oakley.

Figure 2

Vulval lichen planus showing the typical “lacy” border (Wickham’s striae.) Biopsy is important to exclude vaginal intraepithelial neoplasia (VIN). Courtesy of Dr J Adams.