Abstract
To the Editor: Vulvar lichen sclerosus (VLS) is a chronic inflammatory dermatosis that can result in significant psychosocial and sexual impairment. VLS is associated with 4%-6% risk of malignant transformation if left untreated.1 The effective management of VLS can be challenging as some patients can be recalcitrant to first-line ultrapotent topical corticosteroids (TCS) despite appropriate use.2 Off-label use of lasers has shown good results in VLS, suggesting its usefulness as an adjunct to medical therapy.
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