{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T15:11:34Z","timestamp":1784560294077,"version":"3.55.0"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,2,26]],"date-time":"2021-02-26T00:00:00Z","timestamp":1614297600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,2,26]],"date-time":"2021-02-26T00:00:00Z","timestamp":1614297600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Lichen planus is a rare autoimmune disease primarily affecting the skin and mucous membranes of the oral mucosa, vulva, and vagina. Diagnosis is difficult and often delayed as the clinicians do not associate the oral symptoms with the genital symptoms. This has a negative impact on the out-of-pocket expenditure and quality of life of the patients. We report this case, as only anecdotal cases have been reported so far from a developing country such as India. We highlight the unindicated hysterectomy that the patient had undergone because of lack of awareness regarding this condition. Our case report also highlights the importance of the multidisciplinary team approach to optimize outcomes and avoid unnecessary morbidity to such patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We report a North-Indian patient with oro-vaginal-vulvar lichen planus who presented to us with complaints of recurrent vulvovaginal symptoms for the last 5 years. She had been previously treated\u00a0with multiple courses of antibiotics, antifungals, and topical steroids over the course of 3 years and finally offered laparoscopic-assisted vaginal hysterectomy (LAVH) by a private practitioner but got no relief. She also had complained of oral symptoms in the form of a burning sensation after eating spicy food, but did not seek any treatment for this. After multidisciplinary team discussion, a final diagnosis of oro-vaginal-vulvar lichen planus was made at our institute based on the clinical and histopathological findings. The patient was immediately started on oral prednisolone to which she responded with improvement in her symptoms.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Lichen planus is a chronic painful condition with significant impact on the quality of life. Women often suffer for several years before an accurate diagnosis is made. Treatment is challenging and needs to be individualized with a multidisciplinary approach to prevent progressive anatomical distortion and associated morbidity.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-021-02720-w","type":"journal-article","created":{"date-parts":[[2021,2,26]],"date-time":"2021-02-26T00:05:09Z","timestamp":1614297909000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Unwarranted hysterectomy in a case of oro-vaginal-vulvar lichen planus in a young woman: a case report"],"prefix":"10.1186","volume":"15","author":[{"given":"Lajya Devi","family":"Goyal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0336-4750","authenticated-orcid":false,"given":"Priyanka","family":"Garg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manmeet","family":"Kaur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,2,26]]},"reference":[{"key":"2720_CR1","first-page":"1","volume":"52","author":"L Mi","year":"2019","unstructured":"Mi L, Zhang H, Zhang D, Zhang M. Lichen planus with multiple system involvement including the mouth, vagina, urethra, and scalp: a case report. Braz J Med Biol Res. 2019;52:1.","journal-title":"Braz J Med Biol Res"},{"issue":"3","key":"2720_CR2","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1001\/archderm.142.3.289","volume":"142","author":"SM Cooper","year":"2006","unstructured":"Cooper SM, Wojnarowska F. Influence of treatment of erosive lichen planus of the vulva on its prognosis. Arch Dermatol. 2006;142(3):289\u201394.","journal-title":"Arch Dermatol."},{"issue":"2","key":"2720_CR3","doi-asserted-by":"publisher","first-page":"140","DOI":"10.1016\/j.maturitas.2004.04.010","volume":"50","author":"M Petruzzi","year":"2005","unstructured":"Petruzzi M, De Benedittis M, Carriero C, Giardina C, Parisi G, Serpico R. Oro-vaginal-vulvar lichen planus: report of two new cases. Maturitas. 2005;50(2):140\u201350.","journal-title":"Maturitas."},{"issue":"12","key":"2720_CR4","first-page":"1","volume":"2","author":"R Gupta","year":"2009","unstructured":"Gupta R, Bansal B, Singh S, Yadav I, Gupta K, Kudesia M. Lichen planus of uterine cervix - the first report of a novel site of occurrence: a case report. Cases J. 2009;2(12):1\u20133.","journal-title":"Cases J."},{"issue":"2","key":"2720_CR5","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1016\/0030-4220(90)90330-U","volume":"69","author":"A Bermejo","year":"1990","unstructured":"Bermejo A, Bermejo MD, Rom\u00e1n P, Botella R, Bag\u00e1n J. Lichen planus with simultaneous involvement of the oral cavity and genitalia. Oral Surg Oral Med Oral Pathol. 1990;69(2):209\u201316.","journal-title":"Oral Surg Oral Med Oral Pathol."},{"issue":"7","key":"2720_CR6","doi-asserted-by":"publisher","first-page":"966","DOI":"10.3109\/00016341003681231","volume":"89","author":"ALO Helgesen","year":"2010","unstructured":"Helgesen ALO, Gjersvik P, Jebsen P, Kirschner R, Tanbo T. Vaginal involvement in genital erosive lichen planus. Acta Obstet Gynecol Scand. 2010;89(7):966\u201370.","journal-title":"Acta Obstet Gynecol Scand."},{"issue":"3","key":"2720_CR7","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1016\/j.ogc.2017.04.004","volume":"44","author":"M Mauskar","year":"2017","unstructured":"Mauskar M. Erosive lichen planus. Obstet Gynecol Clin North Am. 2017;44(3):407\u201320. https:\/\/doi.org\/10.1016\/j.ogc.2017.04.004.","journal-title":"Obstet Gynecol Clin North Am."},{"issue":"1","key":"2720_CR8","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1111\/j.1365-2133.2012.10919.x","volume":"167","author":"RC Simpson","year":"2012","unstructured":"Simpson RC, Littlewood SM, Cooper SM, Cruickshank ME, Green CM, Derrick E, et al. Real-life experience of managing vulval erosive lichen planus: a case-based review and UK multicentre case note audit. Br J Dermatol. 2012;167(1):85\u201391.","journal-title":"Br J Dermatol."},{"issue":"2","key":"2720_CR9","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1111\/bjd.12334","volume":"169","author":"RC Simpson","year":"2013","unstructured":"Simpson RC, Thomas KS, Leighton P, Murphy R. Diagnostic criteria for erosive lichen planus affecting the vulva: an international electronic-Delphi consensus exercise. Br J Dermatol. 2013;169(2):337\u201343.","journal-title":"Br J Dermatol."}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-02720-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s13256-021-02720-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-02720-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,26]],"date-time":"2021-02-26T00:36:09Z","timestamp":1614299769000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-021-02720-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,26]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["2720"],"URL":"https:\/\/doi.org\/10.1186\/s13256-021-02720-w","relation":{},"ISSN":["1752-1947"],"issn-type":[{"value":"1752-1947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,26]]},"assertion":[{"value":"20 October 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 February 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 February 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study did not conduct any experiments on animals or humans. The patient consented to the use of her personal data for the purpose of this case report.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report along with the images. A copy of the written consent is available for review from the Editor-in-Chief of this journal.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests. The authors have no association with financial or nonfinancial organizations.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"97"}}