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Lichenoid Dermatitis of the Vulva: Diagnosis and Differential Diagnosis for the Gynecologic Pathologist

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Inflammatory processes affecting the vulva may present a unique challenge due to location specific changes. Different factors are behind the intricacy in the presentation of vulvar dermatoses. First, the vulva is lined by different epithelia (hair-bearing keratinized epithelium, modified mucosa, and mucosa). Furthermore, among other factors, this organ is exposed to friction, occlusion, and trauma. Lastly, as there is a tendency to look for health care advice at an advanced stage of the disease, the lesion may be modified by secondary changes due to self-treatment. This article describes the clinical presentation and pathologic features of vulvar dermatoses with a lichenoid pattern and highlights practical points for their diagnoses.
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Keywords: dermatitis; lichen planus; lichen sclerosus; plasma cell vulvitis; syphilis; vulvar

Document Type: Research Article

Affiliations: 1: ProPath Dermatopathology, Dallas, TX 2: Departments of Pathology and Dermatology, Duke University Medical Center, Durham, NC

Publication date: September 1, 2017

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