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Review
. 2019 Jul-Dec;40(2):105-112.
doi: 10.4103/ijstd.IJSTD_45_19.

Genital lichen planus: An underrecognized entity

Affiliations
Review

Genital lichen planus: An underrecognized entity

Ananta Khurana et al. Indian J Sex Transm Dis AIDS. 2019 Jul-Dec.

Abstract

Genital lichen planus (LP) is an underrecogonized dermatosis. The appearance is often unlike classical LP elsewhere, and hence, the condition goes undiagnosed in many. Vulvo-vaginal LP in particular, can be a distressing condition often leading to scarring and a poor quality of life. Treatment for most of the genital LP variants is similar to managing LP elsewhere; however, the erosive variant requires special attention as treatment outcomes are often disappointing and the disease runs a protracted course. Potential for development of malignancy also exists, as in oral LP, and hence close follow up is essential.

Keywords: Complications; erosive; genital; hepatitis C virus; lichen planus; methotrexate; mucosal; oral; treatment.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Violaceous-whitish plaque with interspersed erosions
Figure 2
Figure 2
Coexisting erosive gingival and vulvovaginal lichen planus
Figure 3
Figure 3
Genital lichen planus with prominent scarring sequelae. Note the burying of the clitoral hood and resorption of labia minora
Figure 4
Figure 4
Annular violaceous plaque presents over the glans just proximal to the external urinary meatus
Figure 5
Figure 5
(a) Multiple violaceous papules present on the ventral surface of the penile shaft and an ill-defined erythematous plaque with lacy margins present at 6 “o” clock position of the coronal sulcus extending onto the glans penis. (b) The same patient showing an ill-defined violaceous plaque at 12 “o” clock position over the glans penis
Figure 6
Figure 6
Lacy, white, reticular pattern involving the shaft of the penis

References

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