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The Female Sexual Function Index to assess patients with moderate to severe vulvar lichen sclerosus

previous reports [1, 5, 10]. Unfortunately, dermatologists very rarely notice this symptom, and in our experience, patients do not report it unless specifically asked. As with pruritus, we found no association between the presence or intensity of skin pain and PASI, sPGA or BSA, but DLQI was significantly higher in participants with skin pain and it increased with pain intensity. The few studies on this topic are consistent with this [10]. Since one of our inclusion criteria was a PASI score over 10, we may have excluded patients with less intense or no skin pain, thus we were unable to identify the same associations with the other psoriasis severity criteria. Analysing symptoms of pruritus and skin pain in psoriatic patients could help us to better understand and manage the disease.