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Esperienze Dermatologiche 2017 March;19(1):43-6

DOI: 10.23736/S1128-9155.17.00439-3

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: Italian

Hewitt-Pelisse syndrome: a case report

Massimo NACCA 1, Gelsomina RONZA 1, Luigi COBELLIS 2, Luigi BOCCIA 1

1 Unità Operativa Dermatologia e Venereologia, Azienda Ospedaliera Sant’Anna e San Sebastiano di Caserta di Rilievo Nazionale e di Alta Specializzazione, Caserta, Italia; 2 Unità Operativa complessa di Ostetricia e Ginecologia, Azienda Ospedaliera Sant’Anna e San Sebastiano di Caserta di Rilievo Nazionale e di Alta Specializzazione, Caserta, Italia


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Lichen planus vulvovaginal-gingival (VVG-LP) or Hewitt-Pelisse syndrome is expressed by the triad that includes a vulvo-vaginitis erosion associated with gingivitis or vestibular erosive desquamative. The etiology is controversial, however, the clinical diagnosis should be confirmed histologically. The mode of clinical presentation, with the asynchronous occurrence of injuries, can be misleading postponing for a long time a correct diagnosis. Syndrome, for destruenti mode of onset, causes significant physical discomfort. According to some clinical studies the evolution of this particular scar lichen is statistically associated with HLA class II DQB1. We describe a case of vulvovaginal-gingival lichen planus occurred about forty years ago and characterized by a very slow and debilitating evolution.


KEY WORDS: Lichen planus - Surgery, plastic - Vulva

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