Managing vulvar lichen simplex chronicus

OBJECTIVE: To develop a flow chart indicting which tests to perform with th e aim of helping physicians with the diagnosis, management and treatment of lichen simplex chronicus. STUDY DESIGN: We reviewed the data on vulvar lichen simplex chronicus patie nts to delineate proper management. RESULTS: Patch test should be added to the series of tests performed to asc ertain the causes of vulvar lichen simplex chronicus. CONCLUSION: Among the stimuli that may trigger vulvar lichen simplex chroni cus, not only infections and irritating factors but also sensitization must be kept in mind, especially in long-lasting disease.