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lichen sclerosis
related:
OBGYN
,
lichen simplex
Pt: postmenopausal women
cause: autoimmune, atrophy etiology. Benign lesion characterized by a
thinning of the epidermis and fibrosis (sclerosis) of the underlying dermis.
sx:
early stage:
hypopigmented
areas, increase sensitivity = intense itching with erosions/excoriations
chronic stage: scratching/irritation causes thickened skin (lichenification) and vulvar plaque
severe stage: structural changes, loss of labia minoria, clitoral hood = obstruct urethra causing dysuria, incomplete voiding, nocturia
The lesions of lichen sclerosis commonly present as a
white patch (leukoplakia) with “parchment-like” vulvar skin (like paper).
dx: Punch biopsy of adult-onset lesions to exclude malignancy
rx: high potency topical steroids
complications: Lichen Sclerosis is associated with a slightly
increased risk of squamous cell carcinoma
.
Lichen sclerosis
Lichen simplex chronicus
skin thinning
skin thickening
autoimmune, atrophy
chronic irritation
risk of scc
no risk
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OBGYN
date: 2020-09-07
OBGYN
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Normal pregnancy
Folic acid in pregnancy
HPV and pregnancy
Labor in Pregnancy
Postpartum thyroiditis
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Infections in Pregnancy
Choriocarcinoma
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Peripartum Cardiomyopathy
Seizure in pregnancy
Rh Autoimmunization
Thyroid in pregnancy
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