title: [Vulvovaginal complaints, dyspareunia and oral mucosa abnormalities: erosive lichen planus].
abstract: Three women, aged 46, 48 and 73 years respectively, suffered from erosive genital lichen planus. Vulvar irritation, dyspareunia and vaginal discharge are the prominent signs of this disease. Lichen planus is an inflammatory dermatosis, which can involve skin and oral and genital mucosa. Diagnosis and treatment are difficult. Prolonged local application of a corticosteroid cream, e.g. clobetasol, is usually warranted. Narrowing of the vagina and painful mucosal lesions often prevent sexual intercourse. The combination of oral and genital complaints can help in the diagnosis of lichen planus. Strict follow-up is necessary because of the possible malignant degeneration of the disease.
authors.affiliation: Afd. Verloskunde en Vrouwenziekten, Academisch Ziekenhuis Rotterdam. h.mous@freeler.nl
authors.forename: H V H
authors.initials: HV
authors.lastname: Mous
authors.forename: Th J M
authors.initials: TJ
authors.lastname: Helmerhorst
authors.forename: J C
authors.initials: JC
authors.lastname: den Hollander
authors.forename: W I
authors.initials: WI
authors.lastname: van der Meijden
mesh_terms: D000287:Administration, Topical; D000368:Aged; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D002990:Clobetasol / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004414:Dyspareunia / Q000209:etiology*; D005260:Female; D005938:Glucocorticoids; D006801:Humans; D008010:Lichen Planus / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008875:Middle Aged; D009061:Mouth Mucosa / Q000473:pathology*; D014621:Vagina / Q000473:pathology; D019522:Vaginal Discharge
chemical_list: D000893:Anti-Inflammatory Agents; D005938:Glucocorticoids; D002990:Clobetasol
vernacular_title: Vulvovaginale klachten, dyspareunie en orale mucosa-afwijkingen: erosieve lichen planus.