Abstract
Vulvovaginal-gingival syndrome in a 60-year-old woman
- Dermatology and Venereology Student Research Club, University of Warmia and Mazury, Olsztyn, Poland
- Psychodermatology Department, Chair of Pulmonology, Rheumatology and Clinical Immunology, Medical University of Lodz, Poland
- Clinic of Dermatology, Sexually Transmitted Diseases and Clinical Immunology, Municipal Polyclinical Hospital, Olsztyn, Poland
- Chair and Clinic of Dermatology, Sexually Transmitted Diseases and Clinical Immunology, University of Warmia and Mazury, Olsztyn, Poland
Introduction:
Vulvovaginal-gingival syndrome (VVG-LP) is a rare variant of lichen planus (LP) affecting mucous membranes of a vulva, vagina, and oral cavity. It is characterized by progressive painful erosions and scarring. Early diagnosis of the condition and prompt initiation of treatment are crucial due to the risk of complications.
Objective:
Description of a patient diagnosed with VVG-LP, presenting with desquamative gingivitis and subclinical lesions in the genital region.
Case report:
We present a case of a 60-year-old woman exhibiting edema, tenderness, and cherry-red discoloration of the gingiva. During the examination, atrophy of the mucous membranes in the genital region was also observed. VVG-LP was diagnosed. The treatment regimen included prednisone, cyclosporine, and photodynamic therapy, resulting in clinical improvement.
Conclusions:
The diagnosis and treatment of VVG-LP require a multidisciplinary approach. Early diagnosis helps prevent long-term complications. The case described underscores the importance of a comprehensive examination in establishing the correct diagnosis.
Keywords
lichen planus, scarring, mucosal lichen planus, vulvovaginal-gingival syndrome
Coverage in
Integrated with
