The chronically symptomatic vulva: aetiology and management

British Journal of Obstetrics and Gynaecology
G FischerA Fischer

Abstract

To determine the causes and management of chronic vulval symptoms and to compare the findings in patients first presenting to a gynaecologist with those in patients first presenting to a dermatologist. A prospective study of 144 patients, approximately half each being referred to a gynaecologist and a dermatologist. Diagnosis was based on clinical history, vulvoscopy, vulval biopsy and bacteriology. Biopsies were examined by a histopathologist experienced in dermatopathology and gynaecological pathology. The two patient groups were similar in both range and frequency of conditions. The commonest cause of chronic vulval symptoms was dermatitis, which was found in 64% of our patients. Dermatitis occurred alone in 55% and was found in association with histological evidence of human papilloma virus (HPV) in a further 9%. These patients responded to simple dermatological methods, mainly topical corticosteroids. Histopathological evidence of HPV was encountered in only 23% of our patients, and of these 36% also demonstrated dermatitis on biopsy. Most responded to topical corticosteroids. Another 7% had lichen sclerosus, and all responded to potent topical corticosteroid. The remaining 15% demonstrated a range of diagnoses, including ...Continue Reading

References

Jul 1, 1992·Clinics in Dermatology·J L Buker, R A Amonette
Mar 1, 1992·Obstetrics and Gynecology·C P Crum
Jan 1, 1992·The British Journal of Dermatology·P MarrenS Powell
Oct 1, 1991·American Journal of Obstetrics and Gynecology·M McKay
May 1, 1991·The Australian & New Zealand Journal of Obstetrics & Gynaecology·W R Jones
Jan 1, 1991·International Journal of Gynecological Pathology : Official Journal of the International Society of Gynecological Pathologists·R ConeJ Paavonen
Oct 1, 1991·American Journal of Obstetrics and Gynecology·M L Turner, S C Marinoff
Dec 1, 1990·Archives of Dermatology·M Moyal-BarraccoG Orth
Feb 1, 1990·American Journal of Obstetrics and Gynecology·D RiggW J Metzger
Jan 1, 1990·The Journal of Allergy and Clinical Immunology·J L OhmanJ R Lorusso
Aug 1, 1989·The Australian & New Zealand Journal of Obstetrics & Gynaecology·A AyhanA Gököz
Nov 1, 1994·British Journal of Obstetrics and Gynaecology·G J DennersteinS N Tabrizi
Oct 1, 1993·International Journal of Gynecological Pathology : Official Journal of the International Society of Gynecological Pathologists·E J WilkinsonE G Friedrich
Aug 1, 1995·The Australian & New Zealand Journal of Obstetrics & Gynaecology·J ScurryJ Brenan

❮ Previous
Next ❯

Citations

Nov 16, 2002·Current Infectious Disease Reports·Paul Nyirjesy
Dec 4, 2012·Dermatology and Therapy·Antonio GuglielmettiJulio Correa
Jan 1, 1997·Clinics in Dermatology·S H Wakelin, P Marren
Oct 14, 2000·Journal of the European Academy of Dermatology and Venereology : JEADV·A M CroneS M Powell
Aug 2, 2013·Journal of Lower Genital Tract Disease·Jan KestřánekVladimir Buchta
Dec 8, 2006·Sexually Transmitted Infections·S M Bates, G Dilke-Wing
Jan 12, 2011·Indian Journal of Dermatology, Venereology and Leprology·R RajalakshmiAmiya Kumar Nath
Oct 30, 2004·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·K L GibbonJ Salisbury
Oct 5, 2010·Dermatologic Clinics·Maria Angelica Selim, Mai P Hoang
Apr 15, 2008·Critical Reviews in Oncology/hematology·H P van de NieuwenhofJ A de Hullu
Apr 7, 2004·Lancet·Helen E LoteryRudolph P Galask
Sep 24, 2005·Journal of Cutaneous Pathology·Lauren A Hammock, Terry L Barrett
May 23, 2015·Journal of Cutaneous Pathology·May P Chan, Mary Jane Zimarowski
Feb 6, 2004·Dermatologic Therapy·Gayle Fischer
Sep 10, 1998·International Journal of Dermatology·T F Mroczkowski
Feb 1, 1996·The Australasian Journal of Dermatology·G O Fischer
Sep 16, 1998·The Australasian Journal of Dermatology·J L Byth
Jan 15, 2002·The Australian & New Zealand Journal of Obstetrics & Gynaecology·B AyerR Houghton
Jan 27, 2009·The European Journal of General Practice·Antoine L M Lagro-Janssen, Sylvia Sluis
Jul 24, 2013·Expert Review of Anticancer Therapy·Loes Cg van den EindenJoanne A de Hullu
Aug 26, 2014·The American Journal of Dermatopathology·Mai P HoangMaria A Selim
Aug 7, 2017·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Freja Lærke Sand, Simon Francis Thomsen
Apr 3, 2002·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Nina Wines
Sep 17, 2002·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Jennifer Bradford
Mar 1, 1996·British Journal of Obstetrics and Gynaecology·D Nunns, D Mandal
Jan 20, 2011·International Journal of Dermatology·Deeptara PathakTapan K Dhali
Mar 16, 2017·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Victoria HarrisJennifer A Bradford
Apr 17, 2003·The Medical Journal of Australia·Belinda M WelshChristopher K Fairley
Apr 27, 2021·Frontiers in Medicine·Haya S Raef, Sarina B Elmariah

❮ Previous
Next ❯

Related Concepts

Related Feeds

Candida albicans

Candida albicans is an opportunistic, fungal pathogen of humans that frequently causes superficial infections of oral and vaginal mucosal surfaces of debilitated and susceptible individuals. Discover the latest research on Candida albicans here.

Candidiasis

Candidiasis is a common fungal infection caused by Candida and it can affect many parts for the body including mucosal membranes as well as the gastrointestinal, urinary, and respiratory tracts. Here is the latest research.

Candidiasis (ASM)

Candidiasis is a common fungal infection caused by Candida and it can affect many parts for the body including mucosal membranes as well as the gastrointestinal, urinary, and respiratory tracts. Here is the latest research.

Related Papers

Seminars in Dermatology
P Marren, F Wojnarowska
British Journal of Obstetrics and Gynaecology
R J O'KeefeJ Brenan
The British Journal of Venereal Diseases
F DavidsonS Hussein
© 2021 Meta ULC. All rights reserved