Gender differences in genital lichen sclerosus.

Virgili, Annarosa; Borghi, Alessandro; Cazzaniga, Simone; DI Landro, Anna; Naldi, Luigi; Minghetti, Sara; Fierro, Maria T; Verrone, Anna; Caproni, Marzia; Micali, Giuseppe; Gaspari, Valeria; Papini, Manuela; DI Lernia, Vito; Germi, Lerica; Girolomoni, Giampiero; Belloni Fortina, Anna; Cannavò, Serafinella P; Bilenchi, Roberta; Corazza, Monica (2018). Gender differences in genital lichen sclerosus. (In Press). Giornale italiano di dermatologia e venereologia Minerva Medica 10.23736/S0392-0488.17.05819-9

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BACKGROUND Studies specifically conducted to assess gender differences in genital lichen sclerosus (GLS) are not available. This multicenter study aimed to identify possible gender-related differences on GLS clinical features, history and course, through collecting data from a large mixed-sex sample of patients. METHODS This was a cross-sectional study on 729 subjects (53.8% females, 46.2% males) affected with GLS, consecutively observed within a network of 15 Italian dermatology units. The following information was specifically collected: clinical features and severity of symptoms related to GLS, extragenital involvement, previous therapies, diagnostic suspicion at referral, type of referring physicians, development of genital squamous-cell carcinoma (SCC). RESULTS Females complained of symptoms more frequent and severe than men; pallor and scarring-sclerosis-atrophy were the most frequent features without gender differences; itching- related signs were more frequent in females than in males as well as extragenital involvement; prior to receiving a definitive diagnosis, females received treatment more frequently than males; 40% of patients were referred with a misdiagnosis; the highest rate of correct suspected diagnosis at referral came from dermatologists than from other physicians; duration of the disease was found to predispose to SCC development. CONCLUSIONS Our findings highlighted several gender differences on clinical presentation and symptom profile of GLS. In spite of some characteristic features, misdiagnosis at referrals was frequent.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Dermatology

UniBE Contributor:

Cazzaniga, Simone

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0026-4741

Publisher:

Minerva Medica

Language:

English

Submitter:

Sandra Nyffenegger

Date Deposited:

12 Feb 2019 14:31

Last Modified:

12 Feb 2019 14:31

Publisher DOI:

10.23736/S0392-0488.17.05819-9

PubMed ID:

29368855

URI:

https://boris.unibe.ch/id/eprint/123399

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