scholarly journals Updates in lichen sclerosis: British Association of Dermatologists guidelines for the management of lichen sclerosus 2018

2018 ◽  
Vol 178 (4) ◽  
pp. 823-824 ◽  
Author(s):  
R. Akel ◽  
C. Fuller
Keyword(s):  
Lichen Sclerosus ◽  
British Association ◽  
Lichen Sclerosis

British Association of Dermatologists guidelines for the management of lichen sclerosus, 2018

2018 ◽  
Vol 178 (4) ◽  
Author(s):  
F.M. Lewis ◽  
F.M. Tatnall ◽  
S.S. Velangi ◽  
C.B. Bunker ◽  
A. Kumar ◽  
...  
Keyword(s):  
Lichen Sclerosus ◽  
British Association

scholarly journals The effect of vulvar lichen sclerosus on sexual dysfunction

2021 ◽  
Vol 5 ◽  
pp. 28-33
Author(s):  
V.V. Dunaevskaya
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Activity ◽  
Life Quality ◽  
Lichen Sclerosus ◽  
Control Group ◽  
Lichen Sclerosis ◽  
Level Of Satisfaction ◽  
Surgical History

Lichen sclerosus (LS) is a chronic inflammatory dermathosis that affects the vulva. Many women with LS complain about pain in the vulva, which usually often affects a patient’s life quality. This study describes the results of comparing the sexual function of patients with vulva lichen sclerosis (VLS) with reports of pain and without, to a control group of healthy people.The objective: a determination of the spread of sexual dysfunction in women with VLS.Materials and methods. On the basis of the gynecological office for routine screening / preventive care of the outpatient department in the National Cancer Institute and the clinic “Verum”, a case-control study was carried out to determine the relationship between VLS and sexual dysfunction. A total of 235 women were included in the study. 140 women with a confirmed by biopsy the diagnosis VLS were compared with a control group. We studied the current health complaints, medical and surgical history, current symptoms such as pain and itching, the type and frequency of sexual intercourse and level of satisfaction with sexual activity. The assessment of the severity of pain was carried out according to the McGill scale, the type and frequency of sexual relations and the level of satisfaction with sexual activity - according to the results of questionnaires.Results. Women with VLS reported less sexual activity than women of the control group (p=0.007). In the study, sexually active women with VLS were significantly less likely to report vaginal intercourse (71.6%) than «healthy» controls (89.0%, p=0.003), although similar proportions of all groups indicated that vaginal contact was important for them. Satisfaction with the quality of sexual activity was significantly lower among the women with VLS compared with the control group of «healthy» patients. 25% of women with VLS reported that sexual activity was rarely or never satisfying, compared with 2,11% of the control group of healthy women (p<0.0001).Conclusion. Women with vulva lichen sclerosis have less frequent and less satisfying sexual activity compared to the control group.

scholarly journals British Association of Dermatologists guidelines for the management of lichen sclerosus, 2018

2018 ◽  
Vol 178 (4) ◽  
pp. 839-853 ◽  
Author(s):  
F.M. Lewis ◽  
F.M. Tatnall ◽  
S.S. Velangi ◽  
C.B. Bunker ◽  
A. Kumar ◽  
...  
Keyword(s):  
Lichen Sclerosus ◽  
British Association

British Association of Dermatologists’ guidelines for the management of lichen sclerosus 2010

2010 ◽  
Vol 163 (4) ◽  
pp. 672-682 ◽  
Author(s):  
S.M. Neill ◽  
F.M. Lewis ◽  
F.M. Tatnall ◽  
N.H. Cox
Keyword(s):  
Lichen Sclerosus ◽  
British Association

scholarly journals Possibilities of skin ultrasound examination in the management of patients with localized scleroderma

2021 ◽  
Vol 24 (1) ◽  
pp. 17-24
Author(s):  
Yulia A. Krakhaleva ◽  
Anastasia V. Kolerova ◽  
Elena D. Sorokina ◽  
Daria A. Mikailova ◽  
Yulia M. Krinitsyna ◽  
...  
Keyword(s):  
Linear Form ◽  
Comparative Evaluation ◽  
Ultrasound Examination ◽  
Lichen Sclerosus ◽  
Localized Scleroderma ◽  
Healthy Skin ◽  
Skin Structure ◽  
Lichen Sclerosis ◽  
Skin Ultrasound

With the help of ultrasound examination (ultrasound), it is possible to visualize the skin of patients with suspected localized scleroderma, as well as to objectively determine the stage of the disease and assess the effectiveness of therapy. Three patients with linear, plaque forms of scleroderma, as well as lichen sclerosus, underwent skin ultrasound using a Skinscanner DUB TPM device with a 75 MHz transducer, 4 mm penetration, 21 m resolution in the area of lesions and in adjacent areas of healthy skin, using their ratio coefficient (RC) for comparative evaluation. The thickness of the epidermis and dermis, their echogenicity were determined. With a linear form of scleroderma, an increase in the thickness of the epidermis in the area of the focus (RC 0.850.0125) and a decrease in its echogenicity (RC 1.580.46) were observed. The echogenicity of the dermis was significantly reduced in the lesion (RC 3.021.17). The dermis thickness was slightly less in the center of the lesion (RC 1.09), at the periphery of the lesion it was moderately increased (RC 0.86). In the plaque form of scleroderma, a decrease in the echogenicity of the epidermis was observed in the foci (RC 1.320.49); an increase in the thickness of the dermis (RC 0.790.16) and a decrease in its e echogenicity (RC 1.260.57). In 7 of 11 foci, a subepidermal hypoechoic band was visualized. With lichen sclerosis in the foci, an increase in the thickness of the epidermis (RC 0.420.12) and its acoustic density (RC 0.630.0793), a decrease in the thickness and echo density of the dermis (RC 1.320.00943 and RC 1.550.6, respectively). With different forms of LS, a different ultrasound picture was observed, depending on the stage and activity of the process. The changes identified during treatment reflect the effectiveness of the therapy and the rate of restoration of the skin structure during therapy.

Annular, en bande, and plaque, lichen sclerosus

1971 ◽  
Vol 103 (2) ◽  
pp. 226-228 ◽  
Author(s):  
D. V. Stevanovic
Keyword(s):  
Lichen Sclerosus
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