The role of vulvar skin biopsy in the evaluation of chronic vulvar pain

Anneli R Bowen, Amber Vester, Lily Marsden, Scott R Florell, Howard Sharp, Paul Summers
American Journal of Obstetrics and Gynecology 2008, 199 (5): 467.e1-6
Sixty-one percent of refractory vulvodynia patients evaluated in a tertiary care vulvovaginal clinic had clinically relevant dermatoses based on dermatopathologist-analyzed vulvar biopsy including: lichen sclerosus, allergic/irritant dermatitis, lichen planus, and other inflammatory or neoplastic dermatoses. Given the frequency of dermatologic disease, vulvar biopsy and analysis by a dermatopathologist are recommended in patients with vulvodynia.

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