Vulvar dermatoses classifications

The classification of vulvar dermatoses includes pathologic subsets and their clinical manifestations. Modifications from the 2006 International Society for the Study of Vulvovaginal Disease (ISSVD) classifications.

Spongiotic patternEczematous dermatitis (atopic, contact, and allergic)

Acanthotic pattern = Lichen simplex chronicus (primary and secondary), Psoriasis, Reiter’s syndrome

Lichenoid pattern = Lichen sclerosus, Lichen planus

Vesiculobullous pattern = Bullous pemphigoid, Cicatricial pemphigoid, Pemphigoid gestationis, Pemphigus vulgaris, Pemphigus vegetans

Acantholytic pattern = Hailey-Hailey disease, Darier’s disease, Acantholytic dermatosis of the vulvocrural area

Granulomatous pattern = Crohn’s disease, Melkersson-Rosenthal syndrome

Vasculopathic pattern = Aphthous ulcers, Behcet’s disease, Plasma cell vulvitis

Jessica Lloyd - Vulvovaginal Specialist Naturopathic Practitioner, BHSc(N)

Jessica is a degree-qualified naturopath (BHSc) specialising in vulvovaginal health and disease, based in Melbourne, Australia.

Jessica is the owner and lead naturopath of My Vagina, and is a member of the:

  • International Society for the Study of Vulvovaginal Disease (ISSVD)
  • International Society for the Study of Women's Sexual Health (ISSWSH)
  • National Vulvodynia Association (NVA) Australia
  • New Zealand Vulvovaginal Society (ANZVS)
  • Australian Traditional Medicine Society (ATMS)