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Lichen Sclerosus: A Survey of Diagnosis and Management Among Pediatric Dermatologists and Gynecologists.
- Source :
-
Journal of drugs in dermatology : JDD [J Drugs Dermatol] 2024 Jun 01; Vol. 23 (6), pp. 450-455. - Publication Year :
- 2024
-
Abstract
- Background/objectives: Lichen sclerosus (LS) is a chronic condition that warrants close follow-up due to the risk of scarring. The optimal long-term management of pediatric vulvar and perianal lichen sclerosus (PVPLS) is unknown. This study aimed to identify diagnostic, treatment, and maintenance regimens among pediatric dermatologists and pediatric/adolescent gynecologists, as well as assess provider confidence and desire for guidance on long-term PVPLS management.<br />Methods: A cross-sectional 35-question survey was administered through the Pediatric Dermatology Research Alliance (PeDRA) and the North American Society for Pediatric and Adolescent Gynecology (NASPAG) between 7/13/2021 and 8/30/2021 to ascertain PVPLS diagnostic and management regimens.<br />Results: Most responders were attending-level pediatric/adolescent gynecologists (46%) and pediatric dermatologists (41%). Although 85% of participants felt completely or very confident in diagnosing PVPLS, the majority (86%) desired further management guidelines. While the initial treatment was similar among providers, maintenance regimens and follow-up varied considerably, with only 42% recommending lifelong monitoring despite potential persistence into adulthood.<br />Conclusions: While initial treatment was similar among practitioners, there was variation by specialty in subsequent management and a lack of uniformity in long-term follow-up. Additional studies are needed to clarify the optimal management of PVPLS and to provide evidence-based guidelines regarding long-term follow-up.&nbsp; J Drugs Dermatol. 2024;23(6):450-455.&nbsp; &nbsp;&nbsp; doi:10.36849/JDD.8084.
- Subjects :
- Humans
Female
Cross-Sectional Studies
Child
Adolescent
Surveys and Questionnaires statistics & numerical data
Male
Vulvar Lichen Sclerosus diagnosis
Vulvar Lichen Sclerosus therapy
Vulvar Lichen Sclerosus drug therapy
Dermatology methods
Dermatology standards
Dermatology statistics & numerical data
Lichen Sclerosus et Atrophicus diagnosis
Lichen Sclerosus et Atrophicus therapy
Practice Guidelines as Topic
Gynecologists
Dermatologists statistics & numerical data
Practice Patterns, Physicians' statistics & numerical data
Practice Patterns, Physicians' standards
Gynecology statistics & numerical data
Gynecology standards
Subjects
Details
- Language :
- English
- ISSN :
- 1545-9616
- Volume :
- 23
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of drugs in dermatology : JDD
- Publication Type :
- Academic Journal
- Accession number :
- 38834221
- Full Text :
- https://doi.org/10.36849/JDD.8084