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Vulvovaginal-gingival lichen planus: Association with lichen planopilaris and stratified epithelium-specific antinuclear antibodies

  • Malgorzata Olszewska
  • , Agnieszka Banka-Wrona
  • , Anna Skrok
  • , Adriana Rakowska
  • , Renata Górska
  • , Lynn W. Solomon
  • , Lidia Rudnicka

Research output: Contribution to journalArticlepeer-review

Abstract

Vulvovaginal-gingival lichen planus (VVG-LP) consists of a triad of symptoms: vulval, vaginal and gingival lichen planus lesions. The aim of this study was to analyse the prevalence of lesions in various anatomical locations in patients with VVG-LP. The study included 126 consecutive patients with lichen planus. Sixteen (12.7%) patients fulfilled the criteria of VVG-LP. In 12/16 (75%) patients with VVG-LP scalp lesions were also observed. Stratified epithelium-specific antinuclear antibodies (SES-ANA) and anti-ΔNp.3α antibodies were detected in 10/16 (75%) patients with VVG-LP and in 15/110 (13.6%) patients with other forms of lichen planus (p < 0.05). In conclusion, VVG-LP is frequently associated with lichen planopilaris. The new entity may be termed “vulvovaginal-gingival-pilar lichen planus” and our study indicates that SES-ANA is a marker of this type of lichen planus with extensive, severe and refractory- to-therapy involvement of the mucous membranes, skin and scalp.

Original languageEnglish
Pages (from-to)92-96
Number of pages5
JournalActa Dermato-Venereologica
Volume96
Issue number1
DOIs
StatePublished - Jan 2016

Bibliographical note

Publisher Copyright:
© 2016 The Authors.

ASJC Scopus Subject Areas

  • Dermatology

Keywords

  • Alopecia
  • Chronic ulcerative stomatitis
  • Dermoscopy
  • Frontal fibrosing alopecia
  • Oral lichen planus
  • Trichoscopy
  • Vulvitis

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