Cooper and Wojnarowska graded scarring and response to therapy in women with vulvovaginal lichen planus. The authors are from Churchill Hospital in Oxford, England.
Vulvovaginal Scarring
Clinical Features
Scarring
no scarring
absent
minor fusion or adhesions
mild
loss of labia and partial burying of the clitoris
moderate
complete loss of labia, burying of the clitoris, narrowing of the introitus
severe
Response to Therapy
Clinical Features
Response to Therapy
complete resolution of lesions with normal color and texture (except for residual areas of scarring)
total
absence of erosions and erythema, presence of lacy reticulations
partial
erosions improved and minor
minor
no change in erosions (persistent)
same
more and larger erosions
worse
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