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Inflammatory Vulvar Dermatoses

Angela Guerrero1, Aruna Venkatesan

  • 1*Stanford University School of Medicine †Department of Dermatology, Stanford University, Redwood City, California ‡Department of Medicine, Division of Dermatology, Santa Clara Valley Medical Center, San Jose, California.

Clinical Obstetrics and Gynecology
|July 1, 2015
PubMed

Inflammatory vulvar dermatoses affect many women, but are likely underdiagnosed due to embarrassment and reluctance to visit a health care provider. Although itch and pain are common presenting symptoms, the physical examination can help distinguish between different disease entities. Because many women's health providers have minimal training in the categorization and management of dermatologic disease, definitive diagnosis and management can be difficult. Herein, strategies for diagnosing vulvar lichen sclerosus, lichen planus, contact dermatitis, lichen simplex chronicus, and psoriasis are discussed along with basic management of these diseases, which commonly involves decreasing inflammation through behavioral change, gentle skin care, topical corticosteroids, and systemic therapies.

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