ALEMAN-MARTINEZ, Tania et al. Characterization of patients diagnosed with vulvar lichen sclerosus. []. , 27, 5   01--2023. ISSN 1561-3194.

ABSTRACT Introduction: Vulvar lichen sclerosus is a chronic and progressive inflammatory dermatosis, underdiagnosed and undertreated, with a tendency to malignancy. Timely diagnosis and early treatment are essential. Objective: To characterize patients with a diagnosis of vulvar lichen sclerosus attended in the health areas of Chambas municipality, Ciego de Avila. Methods: An observational, descriptive, cross-sectional, case series study was conducted. The sample coincides with the universe so the sampling was intentional non-probabilistic. Women with vulvar lichen sclerosus, treated in Chambas municipality from January 2015 to September 2022, were included, patients with incomplete medical histories were excluded. Absolute and relative frequencies (percentage) were used as a summary measure. Results: There was a predominance of the age group 60-69 years (66,7 %) and white skin color (71,4 %). 52,4 % belonged to the white group. The 52,4 % belonged to the Julio Castillo area. The mean age was 64,8±6,217 years. Vulvar pruritus and hypopigmentation were present in 100 % of the patients. Differentiated vulvar intraepithelial neoplasia developed in 61,9 % of the women. In 48,2 % of the cases the time of evolution was longer than three years. They received surgical treatment 71,4 %. Conclusions: The disease predominated in the elderly; Hypopigmentation and vulvar pruritus were a constant in the patients studied, most developed a differentiated vulvar intraepithelial neoplasia with more than three years of evolution of the lesions and surgical treatment was the most applied behavior.

: VULVAR LICHEN SCLEROSUS; VULVAR PRURITUS; VULVAR NEOPLASMS..

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