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Case Studies | Dermatology | India | Volume 12 Issue 4, April 2023

Hypertrophic Lichen Planus of Vulva

Sanjana AS | Krithika GM

Abstract: Vulvovaginal LP is a type of chronic inflammatory dermatoses of vulva largely affecting women of perimenopausal age. A 75 year old female patient presented with painful lesions in genital area since 1 year. On examination, a solitary well defined tender white hyperkeratotic plaque with verrucous surface measuring about 1.5*1cm was seen near posterior fourchette. Histomorphological features were suggestive of hypertrophic lichen planus. Hypertrophic LP is usually characterized as thick violaceous plaques on extensor surfaces of lower extremities2. Hypertrophic lichen planus (verrucous lichen planus) of vulvae is a rare entity3, 4 which sometimes gives an appearance similar to squamous cell carcinoma1. Patient was treated symptomatically with oral antihistamines (Tab Bilastine 40mg OD and Tab Levocetirizine 10mg OD) and topical steroids (Halobetasolcream) for 1 month and was advised wide excision. Since the patient refused surgery, she was advised regular follow up to look for any signs of neoplastic change. Diagnosis of hypertrophic LP of vulva can be challenging as it clinically simulates genital warts and SCC.

Keywords: Vulvar dermatoses, Lichen planus, Squamous cell carcinoma

Edition: Volume 12 Issue 4, April 2023,

Pages: 1275 - 1276