Vulvar Dystrophies and Lichen Sclerosus — the View of the Dermatologist

  • M. Hagedorn
Conference paper


Vulvar dystrophies comprise a heterogeneous group of diseases characterized by pruritus, chronicity, therapeutic resistance, and unknown etiology (Hagedorn 1988). A further problem is caused by the fact that both the gynecologist and dermatologist are involved in vulvar diseases, each using different nomenclatures. Therefore, a multitude of terms exist, which consequently results in different opinions about the prognosis. It was the merit of the International Society for the Study of Vulvar Diseases (ISSVD) to introduce a classification of vulvar dystrophies in 1976, which was based on histological criteria (Friedrich 1976). It is quite interesting that this nomenclature is mentioned in the newer German textbooks of gynecology and pathology, although only 50% of pathological-anatomical diagnoses are made in accordance with it (Hagedorn 1986). Dermatologists in the German-speaking regions do not use this classification nor do they see any necessity for it. In a recently published review thus was discussed, resulting in wider usage so as to clarify the practicability of such a classification (Hagedorn 1988).


Lichen Planus Lichen Sclerosus Wide Usage Therapeutic Resistance Thymus Extract 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Friedrich EG Jr (1976) New nomenclature for vulvar disease. Report of the committee on terminology. Obstet Gynecol 47: 122–124Google Scholar
  2. Friedrich EG, Burch N, Bahr JP (1979) The vulvar clinic: an eight-year appraisal. Am J Obstet Gynecol 135: 1036–1040PubMedGoogle Scholar
  3. Hagedorn M (1986) Die Vulvadystrophien. Med Welt 37: 1139–1141Google Scholar
  4. Hagedorn M (1987) Lichen sclerosus et atrophicus: Behandlung mit Thym-UvocalCeme. Aktuel Dermatol 13: 30–33Google Scholar
  5. Hagedorn M (1988) Vulvadystrophien. Zentralbl Haut 155: 247–255Google Scholar
  6. Hagedorn M (1989) Vulval dystrophies: aspect of clinic and therapy. 10th Int Congress of JSSVD, Washington, October 22–26, 1989Google Scholar
  7. Hagedorn M, Thomas C (1987) Vulvadystrophien. Zentralbl Haut 154: 8Google Scholar
  8. Kaufman RH, Gardner HL, Brown D Jr, Beyth Y (1974) Vulvar dystrophies: an evaluation. Am J Obstet Gynecol 120: 363–367PubMedGoogle Scholar
  9. Sanchez NP, Mihm MC (1982) Reactive and neoplastic epithelial alterations of the vulva. A classification of the vulvar dystrophies from the dermatologist’s view point. I. Am Acad Dermatol 6: 378–388CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1990

Authors and Affiliations

  • M. Hagedorn

There are no affiliations available

Personalised recommendations