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Vulval lichen sclerosus: An Australasian management consensus

Yeon, J, Oakley, A, Olsson, A, Drummond, C, Veysey, E, Marshman, G, Saunders, H, Opie, J, Bradford, J, Cole, J, DeAmbrosis, K, Cook, K, Pepall, L, Eva, LJ, Sladden, M, Selva-Nayagam, P, Phillips, R, Ball, S, Hill, S, Bohl, T, Day, T, Lee, G and Fischer, G 2021 , 'Vulval lichen sclerosus: An Australasian management consensus' , Australasian Journal of Dermatology, vol. 62, no. 3 , pp. 292-299 , doi: 10.1111/ajd.13594.

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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 Type: Article
Authors/Creators: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
Keywords: consensus, lichen sclerosus, management, recommendations, vulva
Journal or Publication Title: Australasian Journal of Dermatology
Publisher: Wiley-Blackwell Publishing Asia
ISSN: 0004-8380
DOI / ID Number: 10.1111/ajd.13594
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Copyright 2021 The Australasian College of Dermatologists

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