{
  "id": 7988,
  "label": "vulvar lichen sclerosus",
  "model": {
    "label": "Mondo Disease Ontology (MONDO)",
    "source": 0
  },
  "type_id": 0,
  "reference_id": "MONDO:0006491",
  "properties": {
    "xrefs": [
      "EFO:1000623",
      "MEDGEN:7228",
      "MESH:D007724",
      "NCIT:C27723",
      "UMLS:C0022783"
    ],
    "synonyms": [
      "lichen sclerosus et atrophicus of mammalian vulva",
      "mammalian vulva lichen sclerosus et atrophicus",
      "vulvar lichen sclerosus"
    ],
    "categories": [
      {
        "ref": "MONDO:0002051",
        "name": "integumentary system disorder"
      },
      {
        "ref": "MONDO:0005039",
        "name": "reproductive system disorder"
      }
    ],
    "definition": "A chronic inflammatory disorder of unknown etiology that affects the vulva. It is characterized by the development of white elevated plaques in the vulva. Histologically there is marked subepithelial fibrosis. Clinical manifestations include pruritus, dysuria, and dyspareunia."
  },
  "isLeaf": true,
  "isRoot": false,
  "child_count": 0,
  "parents": [
    {
      "id": 4107,
      "label": "vulvar dystrophy",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        4310
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "DOID:14292",
          "ICD9:624.0",
          "ICD9:624.09",
          "MEDGEN:3942",
          "NCIT:C34565",
          "SCTID:51689003",
          "UMLS:C0013426"
        ],
        "categories": [
          {
            "ref": "MONDO:0005039",
            "name": "reproductive system disorder"
          }
        ],
        "definition": "A non-neoplastic lesion that affects the vulva and is characterized by thinning or thickening of the skin and dryness."
      },
      "child_count": 1,
      "reference_id": "MONDO:0001938"
    },
    {
      "id": 9233,
      "label": "lichen sclerosus et atrophicus",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        4496,
        23867
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "ICD10CM:L90.0",
          "MEDGEN:7338",
          "MESH:D018459",
          "NCIT:C26817",
          "OMIM:151590",
          "Orphanet:33409",
          "SCTID:25674000",
          "UMLS:C0023652"
        ],
        "synonyms": [
          "lichen sclerosus et atrophicus",
          "LSA",
          "lichen SCLEROSUS ET ATROPHICUS",
          "lichen sclerosis",
          "lichen sclerosis et atrophicus",
          "lichen sclerosus"
        ],
        "categories": [
          {
            "ref": "MONDO:0002051",
            "name": "integumentary system disorder"
          }
        ],
        "definition": "A chronic inflammatory process affecting the skin. It is characterized by the presence of white, indurated plaques, epidermal atrophy, and fibrosis of the upper dermis. It usually appears in the vulva and penis."
      },
      "child_count": 2,
      "reference_id": "MONDO:0007899"
    }
  ],
  "children": [],
  "roots": [
    {
      "id": 4107,
      "label": "vulvar dystrophy"
    },
    {
      "id": 9233,
      "label": "lichen sclerosus et atrophicus"
    }
  ]
}