Nonablative radiofrequency in the treatment of refractory vulvar lichen sclerosus: A case series
Rodrigo Rossi Balbinotti, Fernanda Santos Grossi, Amanda Vilaverde Perez, Mariana Sbaraini, Luciana Borges Chagas, Aline C. Tregnago, Janete Vettorazzi
Abstract
Vulvar lichen sclerosus (VLS) is a chronic lymphocyte-mediated inflammatory dermatosis that mainly affects postmenopausal women. It affects both the dermis and the epidermis and is characterized by the symptom of vulvar pruritus and the presence of pearly white plaques, which can group together and progressively assume a parched and wrinkled skin appearance.1-3 The etiology of VLS is still unknown; however, there is evidence of a multifactorial basis. The standard treatment is high-potency topical steroid ointment; however, in addition to presenting various side effects and not curing the disease, this treatment is not always effective.