ORO-VULVAL-VAGINAL & PENO-GINGIVAL syndromes: 4 case reports

Regarding the importance and prevalence of lichen planus among patients and rarity of Oro-Vulval-Vaginal and Peno-Gingival syndromes, that need more attention for diagnosis because of simultaneous oral and genital involvement, we are going to review the symptoms and early diagnosis of these patients. The aim of this article, is to report two patients with Oro-Vulval-Vaginal syndrome and two patients with Peno-Gingival syndrome with a short review on these syndromes and their treatments. Case Report: This study is a case report about four patients with these syndromes who attended oral medicine department of Shaheed Beheshti Dentistry School. For each patient a complete document consisting of demographic information, medical, dental, familial and social history was prepared and a photograph was taken from the oral lesions at the first visit and for definite diagnosis of genital lesions consultation with Dermatologist and OB &GYN Surgeon was done.After biopsy and definite diagnosis simultaneous treatment for oral and genital lesions started. Regarding the severity of lesions and acceptable response to the primary treatment, type and dose of the drug was changed and finally the patients were placed in follow up phase.

Regarding the outcome of neglecting Lichen Planus in other organs and delay in accurate diagnosis and lack of receiving enouph and on time treatment, performing an exact examination and taking a complete history with attention to other organ`s symptoms is of great importance. More over malignant changes in even asymptomatic oral and genital lesions is probable.