Open study of topical 0.025% tretinoin in the treatment of vulvar lichen sclerosus. One year of therapy.J Reprod Med. 1995 Sep; 40(9):614-8.JR
OBJECTIVE
To study the use of topical tretinoin for treating vulvar lichen sclerosus.
STUDY DESIGN
An open, uncontrolled clinical study on 22 patients affected by histologically confirmed vulvar lichen sclerosus. Topical 0.025% tretinoin was applied once a day, five days a week, for one year. Clinical and histologic parameters were evaluated before and after therapy, and statistical analysis was performed.
RESULTS
Symptoms, gross appearance and histopathologic features improved in a highly significant manner (P < .001). Cutaneous side effects were observed but rapidly disappeared, and no patient left the study for this reason. Maintenance of results was observed at the 4-13-month follow-up visits.
CONCLUSION
Topical tretinoin seems feasible for use in the topical treatment of vulvar lichen sclerosus.