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We report a case series of four patients undergoing fractional carbon dioxide laser resurfacing and one with ablative carbon dioxide laser for severe, hyperkeratotic vulval lichen sclerosus not responding to super\u2010potent topical corticosteroids. In these patients, carbon dioxide laser was successful in achieving remission. Their vulval lichen sclerosus was subsequently able to be maintained with topical corticosteroid treatment.<\/jats:p>","DOI":"10.1111\/ajd.12305","type":"journal-article","created":{"date-parts":[[2015,3,5]],"date-time":"2015-03-05T11:25:22Z","timestamp":1425554722000},"page":"39-43","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":63,"title":["Fractional carbon dioxide laser in recalcitrant vulval lichen sclerosus"],"prefix":"10.1111","volume":"57","author":[{"given":"Andrew","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Dermatology Royal North Shore Hospital  St Leonards New South Wales Australia"},{"name":"Northern Clinical School University of Sydney  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Dermatology Royal North Shore Hospital  St Leonards New South Wales Australia"},{"name":"uRepublic Cosmetic Skin &amp; Laser Clinic  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gayle","family":"Fischer","sequence":"additional","affiliation":[{"name":"Department of Dermatology Royal North Shore Hospital  St Leonards New South Wales Australia"},{"name":"Northern Clinical School University of Sydney  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,3,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2010.01142.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00008469-199512000-00008"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-0960.1997.tb01003.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2010.09997.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.140.6.709"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(82)90615-X"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.1997.d01-1199.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(84)80449-1"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)35635-5"},{"key":"e_1_2_7_11_1","first-page":"469","article-title":"Laser therapy of vulvar lichen sclerosus et atrophicus","volume":"34","author":"Stuart GC","year":"1991","journal-title":"Can. 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