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.