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 pattern = Eczematous 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