See also: Vulvar lesions
A chronic inflammatory condition of the anogenital region that most commonly affects women.
May have an autoimmune pathogenesis.
Sx
     Characterized by 
          Anogenital discomfort including 
               Pruritus
               Dyspareunia
               Dysuria
               Painful defecation
PE
     Procelain-white polygonal macules and patches with an atrophic, "cigarette paper" quality.
     Sclerosus and scarring can lead to obliteration of the labia minora and clitoris and a decrease in the diameter of the introitus.
Dx
     The diagnosis can readily be made clinically, however vulvar squamous cell carcinoma occurs more commonly in women with LS&A
          When the diagnosis is in question, punch biopsy of any suspicious lesions should be performed
Tx
     High-potency topical steroids
          A class I topical corticosteroid in oitment form should be applied twice daily for four weeks, at which point transition to a less potent topical steroid or topical calcineurin inhibitor for maintenance therapy is appropriate

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The Compendium platform was created by David Kwinter, MD, CCFP(EM).

Dr. Kwinter is a Cayman Family Doctor. He runs a Family Medicine Clinic at Cayman Medical in George Town, Grand Cayman, Cayman Islands.