<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942023000600025</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización de las pacientes con diagnóstico de liquen escleroso vulvar]]></article-title>
<article-title xml:lang="en"><![CDATA[Characterization of patients diagnosed with vulvar lichen sclerosus]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alemán-Martínez]]></surname>
<given-names><![CDATA[Tania]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León-Gutierrez]]></surname>
<given-names><![CDATA[Onesio Esteban de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Alemán]]></surname>
<given-names><![CDATA[Daniela María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guzmán-López]]></surname>
<given-names><![CDATA[Ailén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez-Hernández]]></surname>
<given-names><![CDATA[José Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Policlínico Universitario &#8220;Julio Castillo&#8221;  ]]></institution>
<addr-line><![CDATA[Ciego de Ávila. Chambas]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Policlínico Universitario &#8220;Camilo Cienfuegos&#8221;.  ]]></institution>
<addr-line><![CDATA[Ciego de Ávila Chambas]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Facultad de Ciencias Médicas Arley Moreira.  ]]></institution>
<addr-line><![CDATA[Ciego de Ávila, Morón]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Provincial Docente &#8220;Roberto Rodríguez Fernández&#8221;,  ]]></institution>
<addr-line><![CDATA[Ciego de Ávila Morón]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Policlínico Universitario Sur de Morón  ]]></institution>
<addr-line><![CDATA[Ciego de Ávila ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2023</year>
</pub-date>
<volume>27</volume>
<numero>5</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942023000600025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942023000600025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942023000600025&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el liquen escleroso vulvar es una dermatosis inflamatoria crónica y progresiva, infradiagnosticada y subtratada, con tendencia a la malignización. El diagnóstico oportuno y tratamiento precoz son fundamentales.  Objetivo: caracterizar las pacientes con diagnóstico de liquen escleroso vulvar.  Métodos: se realizó un estudio observacional, descriptivo, transversal, de serie de casos. La muestra coincide con el universo por lo que el muestreo fue no probabilístico de tipo intencional. Se incluyeron las mujeres con liquen escleroso vulvar, atendidas en el municipio Chambas desde enero de 2015 hasta septiembre de 2022, se excluyeron las pacientes con historias clínicas incompletas. Como medida de resumen de la información se utilizaron frecuencias absolutas y relativas (porcentaje).  Resultados:  existió predominio del grupo de edades 60 - 69 años (66,7 %) y color de piel blanca (71,4 %). El 52,4 % perteneció al área Julio Castillo. La media de edad fue de 64,8±6,217 años. El prurito vulvar e hipopigmentación estuvieron presentes en el 100 % de las pacientes. El 61,9 % de las mujeres desarrollaron una neoplasia vulvar intraepitelial diferenciada. En el 48,2 % de los casos el tiempo de evolución fue mayor de tres años. Recibieron tratamiento quirúrgico el 71,4 %.  Conclusiones:  la enfermedad predominó en la tercera edad; la hipopigmentación y el prurito vulvar fueron una constante en las pacientes estudiadas, la mayoría desarrolló una neoplasia intraepitelial vulvar diferenciada con más de tres años de evolución de las lesiones y el tratamiento quirúrgico fue la conducta más aplicada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[LIQUEN ESCLEROSO VULVAR]]></kwd>
<kwd lng="es"><![CDATA[PRURITO VULVAR]]></kwd>
<kwd lng="es"><![CDATA[NEOPLASIAS DE LA VULVA]]></kwd>
<kwd lng="en"><![CDATA[VULVAR LICHEN SCLEROSUS]]></kwd>
<kwd lng="en"><![CDATA[VULVAR PRURITUS]]></kwd>
<kwd lng="en"><![CDATA[VULVAR NEOPLASMS.]]></kwd>
</kwd-group>
</article-meta>
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