Treatment of erosive vulvovaginal lichen planus with methotrexate
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作者:
Jang, Nelly
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Royal N Shore Hosp, Dept Dermatol, St Leonards, NSW 2650, AustraliaRoyal N Shore Hosp, Dept Dermatol, St Leonards, NSW 2650, Australia
Jang, Nelly
[1
]
Fischer, Gayle
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Royal N Shore Hosp, Dept Dermatol, St Leonards, NSW 2650, Australia
Univ Sydney, Fac Med, No Clin Sch, Sydney, NSW 2006, AustraliaRoyal N Shore Hosp, Dept Dermatol, St Leonards, NSW 2650, Australia
Fischer, Gayle
[1
,2
]
机构:
[1] Royal N Shore Hosp, Dept Dermatol, St Leonards, NSW 2650, Australia
[2] Univ Sydney, Fac Med, No Clin Sch, Sydney, NSW 2006, Australia
We report the successful treatment of severe long-standing erosive vulvovaginal lichen planus in four adult female patients using 2.5-7.5 mg of oral methotrexate once weekly in conjunction with topical clobetasol dipropionate 0.05% ointment and tacrolimus 0.03-0.10% ointment. All cases experienced improvement in symptoms and healing of lesions within 4-8 weeks. Methotrexate was well tolerated and no adverse events have been observed in any of the patients at follow up 4-6 months later.