{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T11:49:58Z","timestamp":1785757798708,"version":"3.56.0"},"reference-count":5,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jaadinternational.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JAAD International"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.jdin.2026.04.013","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T16:52:59Z","timestamp":1777308779000},"page":"36-37","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Navigating diagnostic uncertainty in vulvar lichen sclerosus: When clinical and histopathologic findings diverge"],"prefix":"10.1016","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7846-2200","authenticated-orcid":false,"given":"Priyanka","family":"Kadam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam K.","family":"Pomeranz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5913-9304","authenticated-orcid":false,"given":"Shari R.","family":"Lipner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.jdin.2026.04.013_bib1","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1097\/LGT.0000000000000457","article-title":"Should we always biopsy in clinically evident lichen sclerosus?","volume":"23","author":"McCarthy","year":"2019","journal-title":"J Low Genit Tract Dis"},{"issue":"4","key":"10.1016\/j.jdin.2026.04.013_bib2","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1097\/LGT.0000000000000760","article-title":"Nonsclerotic lichen sclerosus: definition of a concept and pathologic description","volume":"27","author":"Day","year":"2023","journal-title":"J Low Genit Tract Dis"},{"issue":"10","key":"10.1016\/j.jdin.2026.04.013_bib3","doi-asserted-by":"crossref","first-page":"1874","DOI":"10.1111\/jdv.20083","article-title":"European guideline on the management of lichen sclerosus: part 2\u2014treatment and follow-up","volume":"38","author":"Kirtschig","year":"2024","journal-title":"J Eur Acad Dermatol Venereol"},{"issue":"26","key":"10.1016\/j.jdin.2026.04.013_bib4","doi-asserted-by":"crossref","first-page":"1896","DOI":"10.1056\/NEJM199712253372607","article-title":"Vaginitis","volume":"337","author":"Sobel","year":"1997","journal-title":"N Engl J Med"},{"issue":"1","key":"10.1016\/j.jdin.2026.04.013_bib5","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1097\/GRF.0000000000000090","article-title":"Lichen sclerosus and lichen planus in women and girls","volume":"58","author":"Schlosser","year":"2015","journal-title":"Clin Obstet Gynecol"}],"container-title":["JAAD International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666328726000647?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666328726000647?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T11:35:02Z","timestamp":1785756902000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2666328726000647"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":5,"alternative-id":["S2666328726000647"],"URL":"https:\/\/doi.org\/10.1016\/j.jdin.2026.04.013","relation":{},"ISSN":["2666-3287"],"issn-type":[{"value":"2666-3287","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Navigating diagnostic uncertainty in vulvar lichen sclerosus: When clinical and histopathologic findings diverge","name":"articletitle","label":"Article Title"},{"value":"JAAD International","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jdin.2026.04.013","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Inc. on behalf of the American Academy of Dermatology, Inc.","name":"copyright","label":"Copyright"}]}}