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Vulval lichen sclerosus: An Australasian management consensus


Yeon, J and Oakley, A and Olsson, A and Drummond, C and Veysey, E and Marshman, G and Saunders, H and Opie, J and Bradford, J and Cole, J and DeAmbrosis, K and Cook, K and Pepall, L and Eva, LJ and Sladden, M and Selva-Nayagam, P and Phillips, R and Ball, S and Hill, S and Bohl, T and Day, T and Lee, G and Fischer, G, Vulval lichen sclerosus: An Australasian management consensus, Australasian Journal of Dermatology, 62, (3) pp. 292-299. ISSN 0004-8380 (2021) [Refereed Article]

Copyright Statement

Copyright 2021 The Australasian College of Dermatologists

DOI: doi:10.1111/ajd.13594


Background/objectives: Vulval lichen sclerosus (VLS) is a chronic inflammatory skin condition predominantly affecting the anogenital region in women and children. To date, there is lack of agreement amongst experts on a severity scale to aid assessment, research and treatment stratification on VLS. Furthermore, literature on best practice for long-term management of VLS is lacking. The aim of this consensus is to provide broad guidelines on the short and long-term management of VLS.

Methods: An initial focus group of Australasian experts in vulval dermatology developed a draft consensus statement for the management of VLS. Based on the results of the draft statement, a consensus panel of 22 Australasian experts, comprised of the initial and additional members, participated in an anonymous four-stage eDelphi process. Round 1 involved generation and voting on statements from the draft consensus statement developed by the focus group. In Rounds 2, 3 & 4, panel members were presented formal feedback from previous rounds and asked to indicate their level of agreement. Consensus was reached if there was ≥70% agreement on the importance of an item in the 4 (agree) to 5 (strongly agree) range.

Results: The expert panel, with a total of 504 collective years of experience in the field of VLS, reached consensus on a core set of 51 management statements related to diagnosis, severity, initial and long-term management, follow-up, and complications of VLS.

Conclusions: This study has identified a set of management statements for VLS that may be useful in clinical practice in the Australasian population.

Item Details

Item Type:Refereed Article
Keywords:consensus, lichen sclerosus, management, recommendations, vulva
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Dermatology
Objective Division:Health
Objective Group:Clinical health
Objective Field:Treatment of human diseases and conditions
UTAS Author:Sladden, M (Dr Michael Sladden)
ID Code:146483
Year Published:2021
Web of Science® Times Cited:1
Deposited By:Medicine
Deposited On:2021-09-09
Last Modified:2021-10-29

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