Presenting symptoms and anatomical changes
The most frequent symptoms were pruritus (77.8%, n=91) and burning (44.4%, n=52). Less common symptoms included: dysuria, perianal itching, and vulvar pain (Table 1). Fourteen women (12.2%) reported abnormal vaginal discharge, which could be part of vaginal LP involvement. In terms of vulvar changes, the most frequent findings were effacement of the labia minora in 82.5% (n=104), followed by erythema (69.8%, n=88) and phimosis (54%, n=68). The other alterations were less frequent and comprised: fissures, hyperkeratosis, erosions, depigmentation, vaginal stenosis, hyperpigmentation, perianal involvement, edema and purple papules (Table 1).
Table 1. Description and frequencies of presenting symptoms and anatomical changes.