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Lokaler Crossref-Datenbestand · journal-article

Low-dose methotrexate in therapy-resistant lichen sclerosus: first clinical experience with recurrence-free interval extension in HPV-independent vulvar intraepithelial neoplasia (HPVi VIN)

Dune Wouters, Lotte M Voeten, Renee Ebisch, Peggy J de Vos van Steenwijk, Johanna W M Aarts, Edith M G van Esch

British Journal of Dermatology · 2026

Vollständiger Abstract

Worum geht es in dieser Arbeit?

Low-dose methotrexate (MTX) has been used for corticosteroid-refractory lichen sclerosus, but its effect on differentiated vulvar intraepithelial neoplasia (dVIN) recurrence has never been reported. In this first multicenter within-patient observational study, all six continuing patients exceeded their shortest pre-MTX recurrence-free interval, and three achieved sustained reduction in topical corticosteroid use. These findings support prospective evaluation in the MERCURE trial and provide a rationale for MTX as a non-surgical treatment option in recurrent, therapy-resistant dVIN.

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Autor:innen
Dune Wouters, Lotte M Voeten, Renee Ebisch, Peggy J de Vos van Steenwijk, Johanna W M Aarts, Edith M G van Esch
Quelle
British Journal of Dermatology
Publikation
2026-01-01
Band / Ausgabe
Nicht angegeben
Seiten
Nicht angegeben
ISSN / ISBN
0007-0963, 1365-2133
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Zitierfähiger Nachweis

Dune Wouters, Lotte M Voeten, Renee Ebisch, Peggy J de Vos van Steenwijk, Johanna W M Aarts, Edith M G van Esch (2026). Low-dose methotrexate in therapy-resistant lichen sclerosus: first clinical experience with recurrence-free interval extension in HPV-independent vulvar intraepithelial neoplasia (HPVi VIN). British Journal of Dermatology. https://doi.org/10.1093/bjd/ljag364
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