title: Managing vulvar lichen simplex chronicus.
abstract: OBJECTIVE
  To develop a flow chart indicting which tests to perform with the aim of helping physicians with the diagnosis, management and treatment of lichen simplex chronicus.
  
  
  METHODS
  We reviewed the data on vulvar lichen simplex chronicus patients to delineate proper management.
  
  
  RESULTS
  Patch test should be added to the series of tests performed to ascertain the causes of vulvar lichen simplex chronicus.
  
  
  CONCLUSIONS
  Among the stimuli that may trigger vulvar lichen simplex chronicus, not only infections and irritating factors but also sensitization must be kept in mind, especially in long-lasting disease.
authors.affiliation: Dermatology Section, Department of Clinical and Experimental Medicine, University of Ferrara, Via Savonarola 9, 44100 Ferrara, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Virgili
authors.forename: S
authors.initials: S
authors.lastname: Bacilieri
authors.forename: M
authors.initials: M
authors.lastname: Corazza
mesh_terms: D003663:Decision Trees; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D009450:Neurodermatitis / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D010328:Patch Tests; D014847:Vulvitis / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy