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Clinical and Experimental Obstetrics & Gynecology  2020, Vol. 47 Issue (2): 315-319    DOI: 10.31083/j.ceog.2020.02.5167
Case Report Previous articles |
Patient suffering from lichen sclerosus together with partial labial fusion (adhesion) and inflammatory infection of the vulva, vagina and anal area
Grażyna Jarząbek-Bielecka1, Małgorzata Mizgier2, *(), Jacek Boroch1, Magdalena Pisarska-Krawczyk3, Mariola Pawlaczyk4, Ewa Jakubek5, Witold Kędzia6
1Division of Developmental Gynecology and Sexology, Department of Perinatology and Gynecology, Poznan University of Medical Sciences, Poznan 61-701, Poland
2Department of Morphological and Health Sciences, Dietetic Division, Faculty of Physical Culture in Gorzów Wlkp., Poznan University of Physical Education, Gorzów Wlkp. 66-400, Poland
3The President Stanisław Wojciechowski Vocational State School in Kalisz, Kalisz 62-800, Poland
4Department of Geriatrics and Gerontology, Faculty of Health Sciences, Poznan University of Medical Sciences, Poznan 61-701, Poland
5Department of Law, Organization and Management in Healthcare, Faculty of Health Sciences, Poznan University of Medical Sciences, Poznan 61-701, Poland
6Department of Perinatology and Gynecology, Poznan University of Medical Sciences, Poznan 61-701, Poland
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Abstract  

The etiology of lichen sclerosus is not fully known, due to its chronic and progressive nature. The predisposing factor is physiological hypoestrogenism, hence the condition concerns girls during their developmental phase considered as estrogen silent (even as early as at the age of 6 months). The paper presents a 5-year-old patient coming from a rural area and suffering from lichen sclerosus together with partial labial fusion (adhesion) and inflammatory infection of the vulva, vagina and anal area. These symptoms intensified after antibiotic therapy the girl had undergone due to a respiratory tract infection. There were changes in the skin of the labia majora and buttocks indicating lichen sclerosus - swelling, traces of scratches, secondary redness, partial fusion of the labia minora on the side of the crotch known as the fourchette, and a runny yellow-white discharge from the vagina.

Key words:  Inflammatory infection      Lichen screosus      Labial fusion     
Published:  15 April 2020     
*Corresponding Author(s):  Ma?gorzata Mizgier     E-mail:  m.mizgier@awf-gorzow.edu.pl

Cite this article: 

Grażyna Jarząbek-Bielecka, Małgorzata Mizgier, Jacek Boroch, Magdalena Pisarska-Krawczyk, Mariola Pawlaczyk, Ewa Jakubek, Witold Kędzia. Patient suffering from lichen sclerosus together with partial labial fusion (adhesion) and inflammatory infection of the vulva, vagina and anal area. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(2): 315-319.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog.2020.02.5167     OR     https://ceog.imrpress.com/EN/Y2020/V47/I2/315

Table 1  — Conditions for natural protection against infection.
Natural protection of the female genitalia against infections
mechanical
biochemical
biological
bacterial
Hymen, adherence of vaginal walls among sexually inactive females maintaining the proper acidity of the vaginal secretion (low pH within 3.5 - 4.2 prevents the multiplication of pathogenic microorganisms in girls and menstruating women).
Lactobacilli by their presence block the adhesion sites, adhere to epithelial cells and stimulate the immune system, create immune antibodies, protein-zinc complexes, lysozyme.
The presence of lactobacilli producing acidic products from carbohydrates, especially from glycogen.
The hydrogen peroxide (H2O2) produced by lactobacilli prevents the growth of anaerobic bacteria.
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