Evidence map›Paper›PMID 35238456›Full record

ArticleJournal of cosmetic dermatology2023

Efficacy of injecting hybrid cooperative complexes of hyaluronic acid for the treatment of vulvar lichen sclerosus: A preliminary study.

Marinella Tedesco, Valentina Garelli, Fulvia Elia, Francesca Sperati, F Biondi, L Mosiello, Aldo Morrone, Emilia Migliano

Open access · hybridAbstract read
In one paragraph

Article in Journal of cosmetic dermatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Regenerative Approaches in Vulvar Lichen Sclerosus: A Systematic Review.International journal of molecular sciences · 2025
    Pooled it
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Marinella TedescoDepartment of Plastic and Regenerative Surgery, San Gallicano Dermatological Institute IRCCS, Rome, Italy.ORCID https://orcid.org/0000-0001-5816-5834
Valentina GarelliDepartment of Plastic and Regenerative Surgery, San Gallicano Dermatological Institute IRCCS, Rome, Italy.ORCID https://orcid.org/0000-0002-6471-5844
Fulvia EliaRadiology and Diagnostic Imaging Unit, San Gallicano Dermatological Institute IRCCS, Rome, Italy.
Francesca SperatiUOSD Clinical Trial Center, Biostatistical and Bioinformatic, Scientific Direction, SanGallicano Dermatological Institute IRCCS, Rome, Italy.
F BiondiDepartment of Plastic and Regenerative Surgery, San Gallicano Dermatological Institute IRCCS, Rome, Italy.
L MosielloDepartment of Plastic and Regenerative Surgery, San Gallicano Dermatological Institute IRCCS, Rome, Italy.
Aldo MorroneScientific Director San Gallicano Dermatological Institute IRCCS, Rome, Italy.
Emilia MiglianoDepartment of Plastic and Regenerative Surgery, San Gallicano Dermatological Institute IRCCS, Rome, Italy.
San Gallicano Hospital · IT

Funding

Ibsa
6 · The paper itself

Abstract

backgroundLichen sclerosus is a chronic relapsing inflammatory skin disease, which involves most commonly the anogenital region. The gold standard in treatment is ultra-potent topical steroids (clobetasol propionate): it aims at controlling the symptoms, stopping further scarring and distortion, and reducing the risk of cancer.

objectivesThe aim of this preliminary study is to evaluate the efficacy of injecting Hybrid Cooperative Complexes of Hyaluronic Acid (HCC) for the treatment of vulvar lichen sclerosus (VLS).

methodsTwenty female adult patients (range: 21-78 years), aged over 18, with histopathological diagnosis of lichen sclerosus and good general conditions were enrolled. Patients underwent HCC infiltration every month, for 3 times. Patients were evaluated at baseline (T0) and after one (T1) and six months (T2) after treatment. During every visit, each patient was studied clinically and with videothermography. Itching, burning sensation, pain, and dyspareunia were reported by patients at T0, T1, and T2. The effectiveness of the treatment on patients' quality of life and sexual function was evaluated using the Dermatology Life Quality Index (DLQI) and the Female Sexual Function Index (FSFI) at T0 and at T2.

resultsThe results of this preliminary study are very promising, in fact, all patients had a significant reduction in most symptoms after 1 and 6 months of HCC treatment. The reduction of patients with itching (p value ≤ 0.001), pain (p value = 0.031), and burning sensation (p = 0.004) at 6 months is significant. The analysis of DLQI scores revealed a significant improvement in patients' quality of life. At baseline, the average score of DLQI (±SD) was 5.89 ± 3.68 while at follow-up it was 3.42 ± 2.36 (p = 0.002).

conclusionsOur preliminary study has demonstrated the validity and tolerability of HCC infiltrations in patients with VLS, and the effectiveness of HCC in reducing symptoms and, thus, to improve sexuality and patient quality of life.

Indexed as

Lichen Sclerosus et AtrophicusVulvar Lichen SclerosusAdolescentAdultFemaleHumansHyaluronic AcidPainPruritusQuality of LifeHyaluronic Aciddigital imaginghyaluronic acidPruquality of life

Identifiers

PMID35238456
PMCPMC10107117
OpenAlexW4220677548

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.