A case of vaginal pruritis, dysuria and dyspareunia in a young lady

Authors

  • Dr Kiran Naz Khan PNS SHIFA HOSPITAL KARACHI
  • Kiran Naz Khan DERMATOLOGY DEPARTMENT. PNS SHIFA HOSPITAL KARACHI
  • DR. NAJIA AHMED DERMATOLOGY DEPARTMENT. PNS SHIFA HOSPITAL KARACHI
  • DR. ARFAN UL BARI DERMATOLOGY DEPARTMENT, ONS SHIFA HOSPITAL KARACHI

Keywords:

Erosive lichen planus, Hepatitis C virus, Vaginal soreness, vulvo-vaginal distortion, painful coitis, vulval lichen planus, vaginal itching, painful micturation

Abstract

Vaginal pruritus, painful micturition and dyspareunia secondary to a large number of local or systemic disorders are common short term complaints in young to middle aged women. In minority of cases, when underlying cause is not appropriately diagnosed and managed, these symptoms become frustrating for patient as well as for physician. We present a young lady who suffered with above debilitating symptoms that significantly impacted her psycho-sexual life for two years until she was diagnosed as a case of erosive vulval lichen planus

Author Biography

Dr Kiran Naz Khan, PNS SHIFA HOSPITAL KARACHI

DERMATOLOGY DEPARTMENT,PNS SHIFA HOSPITAL KARACHI.

References

Lewis FM, Bogliatto F. Erosive vulval lichen planus – a diagnosis not to be missed: a clinical review. Eur J Obstet Gynecol Reprod Biol 2013; 171:214–19.

Khurana A, Tandon S, Marfatia YS, Madnani N. Genital lichen planus: An underrecognized entity. Indian J Sex Transm Dis AIDS. 2019;40(2):105-112. doi:10.4103/ijstd.IJSTD_45_19

Weston G, Payette M. Update on lichen planus and its clinical variants. Int J Womens Dermatol. 2015;1(3):140-149. Published 2015 Sep 16. doi:10.1016/j.ijwd.2015.04.001

Awlotsky JM, Benchiki H, Pellet C, et al. Lichen planus and hepatitis C virus (HCV)‐related chronic hepatitis: evaluation of HCV genotypes. Br J Dermatol 1995; 133: 666–67.

Machin SE, McConnell DT, Adams JD. Vaginal lichen planus: preservation of sexual function in severe disease. BMJ Case Rep. 2010; 2010:bcr08.2009.2208. Published online 2010 Feb 19.

Moyal-Boracco M, Edward L. Diagnosis and therapy of anogenital lichen planus. Dermatol Ther. 2004;17: 38–46.

Bradford J., Fischer G. Management of vulvovaginal lichen planus: a new approach. J Low Genit Tract Dis. 2013;17: 28–32.

Sobel J.D. Treatment of vulvovaginal lichen planus with vaginal hydrocortisone suppositories. Curr Infect Dis Rep. 2002;4: 507–8

Lewis FM, Harrington CI. Squamous cell carcinoma arising in vulval lichen planus. Br J Dermatol. 1994;131:703–05.

Downloads

Published

2022-04-10

How to Cite

1.
Khan DKN, Khan KN, AHMED DN, BARI DAU. A case of vaginal pruritis, dysuria and dyspareunia in a young lady. J Pak Assoc Dermatol [Internet]. 2022Apr.10 [cited 2024Sep.8];31(3):511-3. Available from: http://www.jpad.com.pk/index.php/jpad/article/view/1642

Issue

Section

Case Reports