case_images: PMC11815809_01
case_images: Clinical images of vulvar hypertrophic and erosive lichen planus prior to initiation of abrocitinib.
case_images: 10.1177_2050313X251320469-fig1.jpg
case_images: PMC11815809_01_10.1177_2050313X251320469-fig1.jpg
case_images: fig1-2050313X251320469
case_images: Previous initial treatment had included topical clobetasol propionate 0.05% ointment up to twice daily, which helped clear the posterior vestibule but was no longer effective for the anterior portion (Figure 1).
case_images: Clinical images of vulvar hypertrophic and erosive lichen planus at 20 months and 1 week of treatment with abrocitinib 200 mg oral daily.
case_images: 10.1177_2050313X251320469-fig2.jpg
case_images: PMC11815809_01_10.1177_2050313X251320469-fig2.jpg
case_images: fig2-2050313X251320469
case_images: Approximately 20 months after adding abrocitinib to her treatment regimen, her physical exam had also significantly improved, revealing only post-inflammatory hyperpigmentation, no erosions, and a hypopigmented plaque, which was 95% resolved from its previous state (Figure 2).