Abstract
Vulval dermatoses present with distressing symptoms, alongside sensitive psychological
and psychosexual issues. There is an incorrect belief amongst a subset of patients
and also clinicians that most genital symptoms result from infections. The diagnosis
and management of skin diseases is broadly applicable to genital disorders as well.
Normal anatomical variants can often be confused with pathological changes and clinical
findings may be subtle. Thus, it is vital to examine patients early, to recognize
salient features of common dermatoses and avoid empirical treatments based on symptoms
alone. Greater patient involvement in understanding of their own condition, alongside
individualized treatment regimens help ensure compliance and improve the patient's
physical and emotional well-being. This review outlines the general principles on
how to approach benign inflammatory dermatoses including genital lichen sclerosus,
lichen planus, eczema and psoriasis, and their management strategies.
Keywords
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Further reading
British Society for the Study of Vulval Diseases
- Topical therapy.in: Chowdhury M.M.U. Griffiths T.W. Finlay A.Y.Y. Dermatology training: the essentials. Wiley, 2022: 225-237
- UK national guideline on the management of vulval conditions.Int J STD AIDS. 2014; : 1-14
- Dermatology Life Quality Index (DLQI)--a simple practical measure for routine clinical use.Clin Exp Dermatol. 1994 May; 19 (PMID: 8033378): 210-216https://doi.org/10.1111/j.1365-2230.1994.tb01167.x
- British Association of Dermatologists guidelines for the management of lichen sclerosus.Br J Dermatol. 2018; 178: 839-853
- Vulvar quality of life index (VQLI) - a simple tool to measure quality of life in patients with vulvar disease.Australas J Dermatol. 2020 May; 61 (Epub 2020 Jan 27. PMID: 31984477): 152-157https://doi.org/10.1111/ajd.13235
Article info
Publication history
Published online: March 13, 2023
Publication stage
In Press Corrected ProofIdentification
Copyright
Crown Copyright © 2023 Published by Elsevier Ltd. All rights reserved.
