Edwards L
Section of Dermatology, University of Arizonia College of Medicine, Tucson 85724.
Arch Dermatol. 1989 Dec;125(12):1677-80.
The clinical presentation of lichen planus of the vulva spans a spectrum from subtle, fine, reticulate papules to severe erosive disease accompanied by scarring and loss of the normal vulvar architecture. The end result may mimic other diseases. Because cutaneous lichen planus is usually absent and oral disease may be asymptomatic, the diagnosis can be easily missed unless the clinician has a high index of suspicion. Although treatment for vulvar lichen planus is suboptimal, a correct diagnosis may end the patient's search for an answer and help to prevent unnecessary procedures and therapies.
外阴扁平苔藓的临床表现范围广泛，从细微、精致的网状丘疹到伴有瘢痕形成和正常外阴结构丧失的严重糜烂性疾病。最终结果可能类似其他疾病。由于通常不存在皮肤扁平苔藓且口腔疾病可能无症状，除非临床医生有高度的怀疑指数，否则很容易漏诊。尽管外阴扁平苔藓的治疗并不理想，但正确的诊断可能会让患者不再寻求答案，并有助于避免不必要的检查和治疗。
