{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T18:59:11Z","timestamp":1786993151020,"version":"build-2736575974"},"reference-count":17,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpagonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric and Adolescent Gynecology"],"published-print":{"date-parts":[[2021,10]]},"DOI":"10.1016\/j.jpag.2021.04.010","type":"journal-article","created":{"date-parts":[[2021,5,11]],"date-time":"2021-05-11T22:34:54Z","timestamp":1620772494000},"page":"597-602","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["Pediatric Vulvar Lichen Sclerosus: A Survey of Disease Course"],"prefix":"10.1016","volume":"34","author":[{"given":"Maria S.","family":"Kammire","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Anderson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer O.","family":"Howell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana B.","family":"McShane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah B.","family":"Corley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dean S.","family":"Morrell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpag.2021.04.010_bib0001","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1016\/j.det.2010.07.006","article-title":"Lichen sclerosus","volume":"28","author":"Murphy","year":"2010","journal-title":"Dermatol Clin"},{"key":"10.1016\/j.jpag.2021.04.010_bib0002","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1111\/pde.12615","article-title":"Pediatric lichen sclerosus: a review of the epidemiology and treatment options","volume":"32","author":"Tong","year":"2015","journal-title":"Pediatr Dermatol"},{"key":"10.1016\/j.jpag.2021.04.010_bib0003","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1067\/mjd.2001.113474","article-title":"Childhood vulvar lichen sclerosus: an increasingly common problem","volume":"44","author":"Powell","year":"2001","journal-title":"J Am Acad Dermatol"},{"key":"10.1016\/j.jpag.2021.04.010_bib0004","first-page":"49","article-title":"Pediatric lichen sclerosus: a review of the literature and management recommendations","volume":"9","author":"Dinh","year":"2016","journal-title":"J Clin Aesthet Dermatol"},{"key":"10.1016\/j.jpag.2021.04.010_bib0005","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.urology.2019.12.029","article-title":"Lichen sclerosus in prepubertal girls: an uncommon but treatable cause of lower urinary tract symptoms","volume":"137","author":"Arlen","year":"2020","journal-title":"Urology"},{"key":"10.1016\/j.jpag.2021.04.010_bib0006","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1111\/ced.13894","article-title":"Paediatric vulval lichen sclerosus: a retrospective study","volume":"44","author":"Ismail","year":"2019","journal-title":"Clin Exp Dermatol"},{"key":"10.1016\/j.jpag.2021.04.010_bib0007","doi-asserted-by":"crossref","first-page":"e230","DOI":"10.1542\/peds.2004-1544","article-title":"Constipation as a feature of anogenital lichen sclerosus in children","volume":"115","author":"Maronn","year":"2005","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpag.2021.04.010_bib0008","doi-asserted-by":"crossref","first-page":"1429","DOI":"10.1007\/s00431-017-3004-y","article-title":"Genital lichen sclerosus in childhood and adolescence-a retrospective case series of 15 patients: early diagnosis is crucial to avoid long-term sequelae","volume":"176","author":"Nerantzoulis","year":"2017","journal-title":"Eur J Pediatr"},{"key":"10.1016\/j.jpag.2021.04.010_bib0009","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1016\/j.jaad.2019.08.030","article-title":"The long-term clinical consequences of juvenile vulvar lichen sclerosus: a systematic review","volume":"82","author":"Morrel","year":"2020","journal-title":"J Am Acad Dermatol"},{"key":"10.1016\/j.jpag.2021.04.010_bib0010","first-page":"231","article-title":"Paediatric lichen sclerosus: a systematic review of 4516 cases","volume":"182","author":"Balakirski","year":"2020","journal-title":"Br J Dermatol"},{"key":"10.1016\/j.jpag.2021.04.010_bib0011","unstructured":"UNC School of Medicine: Cite i2B2. Available: https:\/\/tracs.unc.edu\/index.php\/services\/informatics-and-data-science\/cite-i2b2. Accessed September 12, 2020"},{"key":"10.1016\/j.jpag.2021.04.010_bib0012","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1111\/pde.12109","article-title":"Childhood lichen sclerosus\u2013a challenge for clinicians","volume":"30","author":"Lagerstedt","year":"2013","journal-title":"Pediatr Dermatol"},{"key":"10.1016\/j.jpag.2021.04.010_bib0013","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.jpag.2012.12.002","article-title":"The course of lichen sclerosus diagnosed prior to puberty","volume":"26","author":"Focseneanu","year":"2013","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"10.1016\/j.jpag.2021.04.010_bib0014","first-page":"706","article-title":"Childhood vulvar lichen sclerosus. The course after puberty","volume":"47","author":"Powell","year":"2002","journal-title":"J Reprod Med"},{"key":"10.1016\/j.jpag.2021.04.010_bib0015","series-title":"StatPearls","article-title":"Physiology, puberty","author":"Breehl","year":"2020"},{"key":"10.1016\/j.jpag.2021.04.010_bib0016","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1001\/archderm.140.6.702","article-title":"Does treatment of vulvar lichen sclerosus influence its prognosis?","volume":"140","author":"Cooper","year":"2004","journal-title":"Arch Dermatol"},{"key":"10.1016\/j.jpag.2021.04.010_bib0017","doi-asserted-by":"crossref","first-page":"64","DOI":"10.3109\/09546634.2015.1054777","article-title":"A retrospective analysis of pediatric patients with lichen sclerosus treated with a standard protocol of class I topical corticosteroid and topical calcineurin inhibitor","volume":"27","author":"Anderson","year":"2016","journal-title":"J Dermatolog Treat"}],"container-title":["Journal of Pediatric and Adolescent Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1083318821001984?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1083318821001984?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T13:47:31Z","timestamp":1761054451000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1083318821001984"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["S1083318821001984"],"URL":"https:\/\/doi.org\/10.1016\/j.jpag.2021.04.010","relation":{},"ISSN":["1083-3188"],"issn-type":[{"value":"1083-3188","type":"print"}],"subject":[],"published":{"date-parts":[[2021,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Pediatric Vulvar Lichen Sclerosus: A Survey of Disease Course","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric and Adolescent Gynecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpag.2021.04.010","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}