Vulvar Dystrophies and Lichen Sclerosus — the View of the Dermatologist
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).
KeywordsLichen Planus Lichen Sclerosus Wide Usage Therapeutic Resistance Thymus Extract
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- Friedrich EG Jr (1976) New nomenclature for vulvar disease. Report of the committee on terminology. Obstet Gynecol 47: 122–124Google Scholar
- Hagedorn M (1986) Die Vulvadystrophien. Med Welt 37: 1139–1141Google Scholar
- Hagedorn M (1987) Lichen sclerosus et atrophicus: Behandlung mit Thym-UvocalCeme. Aktuel Dermatol 13: 30–33Google Scholar
- Hagedorn M (1988) Vulvadystrophien. Zentralbl Haut 155: 247–255Google Scholar
- Hagedorn M (1989) Vulval dystrophies: aspect of clinic and therapy. 10th Int Congress of JSSVD, Washington, October 22–26, 1989Google Scholar
- Hagedorn M, Thomas C (1987) Vulvadystrophien. Zentralbl Haut 154: 8Google Scholar