Clin Case Rep Int | Volume 6, Issue 1 | Research Article | Open Access

Genital Lichen Planus in Males: Clinical, Laboratory, and Histological Aspects of 7 Cases

Tamanini JM1*, Lellis RF2 and Veasey JV1

1Department of Dermatology, Santa Casa de Sao Paulo School of Medical Sciences, Brazil
2Department of Pathology, Santa Casa de Sao Paulo School of Medical Sciences, Brazil

*Correspondance to: Juliana Milhomem Tamanini 

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Abstract

Introduction: Genital Lichen Planus (GLP) is associated with high morbidity due to the possible progression to stenosis, genital synechia, and carcinoma, in addition to psychological impact. We propose an iconographic presentation describing the characteristics of patients with GLP and complementary tests in order to assist the diagnosis. Materials and Methods: Retrospective study of male patients with GLP from a tertiary hospital in São Paulo, Brazil, between January 2009 and December 2019. Therein are described their clinical, histological, and laboratory aspects. Results: Seven patients were included. The most affected site was the shaft of the penis (71%), followed by the glans penis (54%). All patients presented with Wickham’s striae, with the annular form being the most common clinical form (71%). Typical histological changes were observed in 100% of cases. Discussion: The clinical manifestations of GLP show the importance of acknowledging the epithelium involved in the clinical expression of the lesion. All histopathological tests were compatible with GLP, thereby demonstrating the importance of choosing an appropriate biopsy site. Conclusion: This study contributes to the diagnostic elucidation of a chronic and relapsing genital disease by highlighting clinical aspects with the aid of histopathological diagnosis and interpretation of laboratory test results.

Keywords:

Lichen planus; Penis; Dermatosis; Genital; Pruritus; Autoimmunity

Citation:

Tamanini JM, Lellis RF, Veasey JV. Genital Lichen Planus in Males: Clinical, Laboratory, and Histological Aspects of 7 Cases. Clin Case Rep Int. 2022; 6: 1301.

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