Vulvovaginal-gingival syndrome in a 60-year-old woman

Julia W. Turkiewicz; Michał Rydzewski; Agata Bechtold-Milczarek; Anna Zalewska-Janowska; Agnieszka Owczarczyk-Saczonek

doi:10.5114/dr.2024.148572

eISSN: 2084-9893
ISSN: 0033-2526

Dermatology Review/Przegląd Dermatologiczny

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5/2024
vol. 111

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abstract:

Case report

Vulvovaginal-gingival syndrome in a 60-year-old woman

Julia W. Turkiewicz

¹

,

Michał Rydzewski

¹

,

Agata Bechtold-Milczarek

^{2, 3}

,

Anna Zalewska-Janowska

²

,

Agnieszka Owczarczyk-Saczonek

⁴

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

Dermatol Rev/Przegl Dermatol 2024, 111, 379-382

DOI: https://doi.org/10.5114/dr.2024.148572

Online publish date: 2025/02/25

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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

Indeks osobowy

Vulvovaginal-gingival syndrome in a 60-year-old woman

Julia W. Turkiewicz 1 , Michał Rydzewski 1 , Agata Bechtold-Milczarek 2, 3 , Anna Zalewska-Janowska 2 , Agnieszka Owczarczyk-Saczonek 4

lichen planus, scarring, mucosal lichen planus, vulvovaginal-gingival syndrome

Julia W. Turkiewicz

¹

,

Michał Rydzewski

¹

,

Agata Bechtold-Milczarek

^{2, 3}

,

Anna Zalewska-Janowska

²

,

Agnieszka Owczarczyk-Saczonek

⁴