Re: Lichen Sclerosus

From: Catalin Popescu (cpopescu@ottonel.pub.ro)
Mon Feb 2 21:21:24 1998


On Mon, 2 Feb 1998 rbraun@iupui.edu wrote:

> That is what I said. a "clinical diagnosis"
>
> R. Daniel Braun, MD FACOG
>
> On Mon, 2 Feb 1998, Dib Abdalla Chacur wrote:
>
> >
> > rbraun@iupui.edu wrote:
> >
> > > You have described "Kraurosis vulvae" which is a clinical diagnosis based
> > > on the findings you described. When biopsied, the path diagnosis is
> > > L,S,&A. I would treat this patient without a biopsy. I would also treat
> > > the patient who has one or two localized areas that were thin, and white
> > > and there were no thickened areas present.
> > >
> > > R. Daniel Braun, MD FACOG
> > >
> >
> > " Kraurosis Vulvae" is only a terminology , only a macroscopic aspect,without an
> > caracteristic histophatology. " Kraurosis" means only an stenotic and atrofic
> > vulva. It is important the biopsy to do a histophatologic diagnosis.
> > I think so
> > Regards
> > Dib

Kraurosis vulvae is used as a synonym for lichen sclerosus et atrophicus of the vulva (at least in dermatological textbooks). The first reference which comes into my hand is:

Lever WF, Schaumburg-Lever G. Histopathology of the skin, JB Lipincott Company, 7th edition 1990, pg 310.

"Lichen sclerosus et atrophicus of the vulva, also referred to as kraurosis vulvae...." (pg 310).

but I think I saw the same definition in well-known textbooks of dermatology as Fitzpatrick's or Rook's

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