{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T06:58:26Z","timestamp":1769842706381,"version":"3.49.0"},"reference-count":11,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,5,26]],"date-time":"2015-05-26T00:00:00Z","timestamp":1432598400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001529","name":"Waikato Medical Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001529","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust J Dermatology"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Erosive vulvovaginal lichen planus (<jats:styled-content style=\"fixed-case\">EVLP<\/jats:styled-content>) is a chronic, painful dermatosis affecting mucocutaneous sites. Clinicopathological diagnostic criteria have been described on the basis of expert consensus. The aim of this study was to review the presentation of <jats:styled-content style=\"fixed-case\">EVLP<\/jats:styled-content>, particularly assessing the frequency of suggested diagnostic criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Clinical signs, symptoms and histological features of women with a clinical diagnosis of <jats:styled-content style=\"fixed-case\">EVLP<\/jats:styled-content> were identified from clinical records and photographs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all, 72 women with an average age of 67 years were included. Pain or burning were documented in 66\/72 cases (92%) and itch in 36 (50%). Clinical images showed well\u2010demarcated red shiny areas or erosions at the vaginal introitus (96%), scarring with loss of normal architecture (88%) and hyperkeratotic border and Wickham striae (46%). A total of 27 women had mucosal disease at another site (38%) and 24 had vaginal involvement (33%). Vulval histology was available for 45\/72 cases (63%). The most prevalent histological finding was a band of inflammation with predominant lymphocytes (35\/72, 49%). Overall, 97% of cases had at least three of nine suggested diagnostic criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The most frequent findings in women with <jats:styled-content style=\"fixed-case\">EVLP<\/jats:styled-content> were symptoms of pain or burning, well\u2010demarcated red shiny areas or erosions at the introitus and scarring with loss of architecture. Our findings support the recently described diagnostic criteria for <jats:styled-content style=\"fixed-case\">EVLP<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajd.12355","type":"journal-article","created":{"date-parts":[[2015,5,26]],"date-time":"2015-05-26T07:59:34Z","timestamp":1432627174000},"page":"284-287","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Diagnostic criteria in 72 women with erosive vulvovaginal lichen planus"],"prefix":"10.1111","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4501-2211","authenticated-orcid":false,"given":"Harriet","family":"Kennedy","sequence":"first","affiliation":[{"name":"Department of Dermatology Waikato Hospital  Hamilton New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Oakley","sequence":"additional","affiliation":[{"name":"Department of Dermatology Waikato Hospital  Hamilton New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darion","family":"Rowan","sequence":"additional","affiliation":[{"name":"Department of Pathology Waikato Hospital  Hamilton New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duncan","family":"Lamont","sequence":"additional","affiliation":[{"name":"Department of Gynaecology Oncology National Womens Health  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,5,26]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1067\/mjd.2002.120452"},{"key":"e_1_2_6_3_1","first-page":"797","article-title":"A new vulvovaginogingival syndrome. Plurimucous erosive lichen planus","volume":"109","author":"Pelisse M","year":"1982","journal-title":"Ann. Dermatol. 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