Images in gynecologyAn oral component: Vaginal lesions were associated with gingival symptoms
Section snippets
Case notes
A 47-year-old patient was referred to our Vulvar Diseases Clinic for severe vulvovaginal burning, dyspareunia, and postcoital bleeding. These symptoms had been present for several months and coincided with gingival pain. Upon examination, the patient's vulvar vestibule was brightly erythematous and eroded; diffuse atrophy of the labia minora and secondary vestibular stenosis were also evident (Figure 1). Similar patterns of erythema and atrophy were present along the lower vaginal walls. The
Conclusions
On the basis of the patient's clinical manifestations, symptoms, and pathology report, a diagnosis of erosive lichen planus was made. A topical steroid regimen was prescribed for oral and genital lesions; the patient was instructed to apply clobetasol propionate 0.5% ointment, once daily. After 3 months of treatment, she was without symptoms at the oral and genital sites, but the clinical lesions were almost unchanged. This was an unexpected result because, often, only partial relief is
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Cited by (0)
Cite this article as: Origoni M, Carminati G, Candiani M. An oral component: vaginal lesions were associated with gingival symptoms. Am J Obstet Gynecol 2011;204:565.e1-2.