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Title: Vulval lichen sclerosus: An Australasian management consensus.
Austin Authors: Yeon, Janice;Oakley, Amanda;Olsson, Ann;Drummond, Catherine;Veysey, Emma;Marshman, Gillian;Saunders, Helen;Opie, Jacinta;Bradford, Jennifer;Cole, Judith;DeAmbrosis, Kate;Cook, Kathryn;Pepall, Linda;Eva, Lois Jane;Sladden, Michael;Selva-Nayagam, Priya;Phillips, Roderic;Ball, Sally;Hill, Sarah;Bohl, Tanja;Day, Tania;Lee, Geoffrey;Fischer, Gayle
Affiliation: Tristram clinic, Hamilton Lake, Hamilton, New Zealand
Waikato Clinical Campus, University of Auckland, Hamilton, New Zealand
Department of Gynaecological Oncology, National Women's Health at Auckland City Hospital, Auckland, New Zealand
Flinders Medical Centre, Bedford Park, South Australia, Australia
Dermatology Department, The Royal Women's Hospital, Parkville, Victoria, Australia
The Royal Women's Hospital, Victoria and Dermatology Department, St Vincent's Hospital, Melbourne, Victoria, Australia
School of Medicine, University of Western Sydney, Sydney, New South Wales, Australia
Royal Street Dermatology, Yokine, Western Australian, Australia
The Skin Hospital, Sydney, New South Wales, Australia
Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia
Department of Dermatology, Canberra Hospital, Canberra, Australian Capital Territory, Australia
Medical School, Australian National University, Canberra, New South Wales, Australia
Flinders University Medical School, Adelaide, South Australia, Australia
Dermatogynaecology Clinic, Mercy Hospital for Women, Heidelberg, Victoria, Australia
St John of God Dermatology, Subiaco, Western Australia, Australia
Mater Misericordiae Hospital, South Brisbane, Queensland, Australia
Obstetrician and Gynecologist at Vulval Clinic, Mercy Hospital for Women, Heidelberg, Victoria, Australia
Sexual Health Physician at Melbourne Sexual Health Clinic, Carlton, Victoria, Australia
Department of Medicine, University of Tasmania, Launceston, Tasmania, Australia
Department of Dermatology, Queen Elizabeth Hospital, Adelaide, South Australia, Australia
Department of Paediatrics, Monash University Melbourne, Clayton, Victoria, Australia
Department of Dermatology, Royal Adelaide Hospital, Adelaide, South Australia, Australia
Vulva Clinic, Jean Hailes Medical Centre, Clayton, Victoria, Australia
Faculty of Health and Medicine, University of Newcastle, Callaghan, New South Wales, Australia
Northern Clinical School, The University of Sydney, Camperdown, New South Wales, Australia
Department of Dermatology, Royal North Shore Hospital, St Leonards, New South Wales, Australia
Issue Date: 2021
Date: 2021-06-12
Publication information: The Australasian Journal of Dermatology 2021-08; 62(3): 292-299
Abstract: 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. 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. 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. This study has identified a set of management statements for VLS that may be useful in clinical practice in the Australasian population.
DOI: 10.1111/ajd.13594
Journal: The Australasian Journal of Dermatology
PubMed URL: 34117779
Type: Journal Article
Subjects: consensus
lichen sclerosus
Appears in Collections:Journal articles

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