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Mechanical Trauma From Shaving/Waxing) Leads To Scratching, Which In Turn Causes Skin Thickening And Worsens The Itching.[ In The Vulvar Region Specifically, Environmental Irritants Are Well Recognized Triggers. Biopsy Is Not Always Necessary For Diagnosis, Particularly When The Clinical Presentation Is Typical.the Diagnosis Is Often Made Clinically Based On The Presence Of Lichenification And The Characteristic History Of Chronic Scratching. However, Biopsy Should Be Considered If The Diagnosis Is Uncertain, Lesions Are Atypical, Or There Is No Response To Standard Therapy.breaking The Itch Scratch Cycle Is Fundamental To Management.this Involves Removing Irritants, Using Medium To High Potency Topical Corticosteroid Ointments, And Applying Barrier Ointments Like Petrolatum Or Aquaphor To Restore.
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