medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2021-9-63-66medalphabet-2043Research ArticleКОСМЕТОЛОГИЯКОСМЕТОЛОГИЯСовременные представления о красном плоском лишае вульвыModern ideas about lichen planus of vulvahttps://orcid.org/0000-0003-0521-0333СуркичинС. И.SurkichinS. I.

Суркичин Сергей Иванович, к. м. н., доцент кафедры дерматовенерологии и косметологии

Surkichin Sergei I., PhD Med, associate prof. at Dept of Dermatovenereology and Cosmetology

surkichinsi24@mail.ruhttps://orcid.org/0000-0002-4581-6295АполихинаИ. А.ApolikhinaI. A.

Аполихина Инна Анатольевна, д. м. н., проф.

Apolikhina Inna.A., DM Sci, prof.

https://orcid.org/0000-0003-1911-6743МайоровР. Ю.MayorovR. Yu.

Майоров Роман Юрьевич,ординатор кафедры дерматовенерологии и косметологии

Mayorov Roman.Yu., resident of Dept of Dermatovenereology and Cosmetology

roman1396@bk.ruhttps://orcid.org/0000-0002-8317-0800АвинМ.AvinM.

Авин Марика, врач-дерматовенеролог

Marika Avin, dermatovenerologist

ФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента России, МоскваРоссияCentral State Medical Academy of the Administrative Department of the President of Russia, MoscowRussian FederationФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии имени В. И. Кулакова» Минздрава России, МоскваРоссияNational Medical Research Centre for Obstetrics, Gynecology andPerinatology n. a. academician V. I. Kulakov, MoscowRussian FederationООО Медицинский центр «Столица», МоскваРоссияMedical Center ‘Stolitsa’, MoscowRussian Federation20212506202109Дерматология (1)6366Copyright © Суркичин С.И., Аполихина И.А., Майоров Р.Ю., Авин М., 20212021Суркичин С.И., Аполихина И.А., Майоров Р.Ю., Авин М.Surkichin S.I., Apolikhina I.A., Mayorov R.Y., Avin M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/2043

Красный плоский лишай (КПЛ) – это Т-клеточно-опосредованный воспалительный дерматоз с до конца не ясной этиологией, поражающий кожу, ногти и слизистые оболочки. В статье обозначены современные представления о красном плоском лишае, поражающем вульву. Рассмотрены вопросы этиопатогенеза, клинической картины, дифференциальной диагностики различных форм данного дерматоза. Подробно описана гистопатологическая картина КПЛ вульвы. Рассмотрены возможные осложнения, в том числе анатомические нарушения архитектоники вульвы и риск злокачественной трансформации. Представлены различные методики лечения при данном заболевании, схемы местного лечения, даны обзор системных препаратов, а также альтернативные подходы к ведению пациенток.

Lichen planus (LP) is a T-cell-mediated inflammatory dermatosis with an unclear etiology that affects the skin, nails and mucous membranes. The article outlines modern ideas about lichen planus, affecting the vulva. The issues of etiopathogenesis, clinical picture, differential diagnosis of various forms of this dermatosis are considered. The histopathological picture of vulvar LPL is described in detail. Possible complications, including anatomical abnormalities of the vulvar architectonics and the risk of malignant transformation, are considered. Various methods of treatment for this disease, local treatment regimens are presented, an overview of systemic drugs is given, as well as alternative approaches to patient management.

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The authors declare that there are no conflicts of interest present.