Vulvar Erosions: Excoriations, Erosive Lichen Planus, and Fissures
Erosions, ulcers, excoriations, and fissures are among the secondary morphology presentations in the IFCPC clinical terminology of the vulva. Lichen planus (LP) is a chronic inflammatory mucocutaneous disease of unknown etiology. Patients present with vaginal discharge, soreness, burning, itching, pain, or bleeding with sexual intercourse. Treatment often consists of topical immunosuppressive therapy and vaginal dilators to break adhesions. Vulvar fissures are also discussed.
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