Final answer:
Lichen Simplex Chronicus (LSC) is the vulvar condition described, resulting from a repetitive itch-scratch cycle leading to thickened skin and pruritus. Treatment involves topical corticosteroids, antihistamines, stress management techniques, and possibly referral to a specialist for advanced interventions.
Step-by-step explanation:
The vulvar condition described, which is characterized by chronic itching and scratching leading to extreme pruritus and thick, lichenified, enlarged labia, is most likely Lichen Simplex Chronicus (LSC). LSC is a skin disorder that affects various regions of the body, including the vulvar area, and is associated with a cycle of itching and scratching that leads to changes in the skin's appearance and texture. For the treatment of Lichen Simplex Chronicus, a multifaceted approach is recommended. Initial treatment typically involves topical corticosteroids to reduce inflammation and itching.
In addition, antihistamines might be prescribed, especially if itching worsens at night. Patient education is crucial to minimize scratching and further irritation. Interventions also include stress management techniques, as psychological stress can exacerbate the condition. In severe cases, referral to a dermatologist or gynecologist for further management may be necessary, which can include stronger topical medications, intralesional corticosteroid injections, or phototherapy. The overarching goal is to break the cycle of itching and scratching and to manage any secondary infections that may arise due to the compromised skin barrier.