Managing vulvar lichen simplex chronicus.

OBJECTIVE: To develop a flow chart indicting which tests to perform with the aim of helping physicians with the diagnosis, management and treatment of lichen simplex chronicus.

STUDY DESIGN: We reviewed the data on vulvar lichen simplex chronicus patients to delineate proper management.

RESULTS: Patch test should be added to the series of tests performed to ascertain the causes of vulvar lichen simplex chronicus.

CONCLUSION: Among the stimuli that may trigger vulvar lichen simplex chronicus, not only infections and irritating factors but also sensitization must be kept in mind, especially in long-lasting disease.