- Natasha R Johnson, MD
Natasha R Johnson, MD
- Assistant Professor in Obstetrics, Gynecology and Reproductive Biology
- Harvard Medical School
- Pamela L Scheinman, MD
Pamela L Scheinman, MD
- Associate Professor of Dermatology
- Harvard Medical School
- Alice J Watson, MD, MPH
Alice J Watson, MD, MPH
- Attending Dermatologist
- Brigham and Women’s Hospital
- Instructor in Dermatology
- Harvard Medical School
- Section Editors
- Robert L Barbieri, MD
Robert L Barbieri, MD
- Editor-in-Chief — Obstetrics, Gynecology and Women's Health
- Section Editor — General Gynecology and Female Reproductive Endocrinology
- Kate Macy Ladd Professor of Obstetrics, Gynecology and Reproductive Biology
- Harvard Medical School
- Robert P Dellavalle, MD, PhD, MSPH
Robert P Dellavalle, MD, PhD, MSPH
- Section Editor — General Dermatology
- Professor of Dermatology and Public Health
- University of Colorado School of Medicine
- Colorado School of Public Health
- Chief, Dermatology Service
- US Department of Veterans Affairs
- Eastern Colorado Health Care System
Vulvar dermatitis is the most common type of vulvar dermatosis. One-third to one-half of vulvar complaints stem from this problem [1-4]. It can develop in isolation or may occur as part of dermatitis in other areas of the body. Women with vulvar dermatitis often experience chronic irritation or pruritus, which cause them to persistently rub and scratch the vulva. These activities lead to histologic changes in the dermis, termed lichen simplex chronicus .
This topic will discuss the clinical manifestations, diagnosis, and management of vulvar dermatitis. Other vulvar dermatoses and vulvar lesions are discussed separately.
●(See "Vulvar lichen sclerosus".)
●(See "Vulvar lichen planus".)To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
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- Dalziel KL, Wojnarowska F. Long-term control of vulval lichen sclerosus after treatment with a potent topical steroid cream. J Reprod Med 1993; 38:25.
- Dalziel KL, Millard PR, Wojnarowska F. The treatment of vulval lichen sclerosus with a very potent topical steroid (clobetasol propionate 0.05%) cream. Br J Dermatol 1991; 124:461.
- Goldstein AT, Parneix-Spake A, McCormick CL, Burrows LJ. Pimecrolimus cream 1% for treatment of vulvar lichen simplex chronicus: an open-label, preliminary trial. Gynecol Obstet Invest 2007; 64:180.
- Black RJ. Vulval eczema associated with propolis sensitization from topical therapies treated successfully with pimecrolimus cream. Clin Exp Dermatol 2005; 30:91.
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- Segal AO, Ellis AK, Kim HL. CSACI position statement: safety of topical calcineurin inhibitors in the management of atopic dermatitis in children and adults. Allergy Asthma Clin Immunol 2013; 9:24.
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- ENDOGENOUS VERSUS EXOGENOUS DERMATITIS
- CLINICAL MANIFESTATIONS
- Physical examination
- Patch testing
- DIFFERENTIAL DIAGNOSIS
- Inflammatory vulvar dermatoses
- Vulvar intraepithelial neoplasia
- Vulvar cancer
- Paget disease (extramammary)
- Vulvar pain syndromes
- Vulvovaginal atrophy
- General measures
- Diagnosis and treatment of coexistent infection
- Control of pruritus
- Patients with mild symptoms
- Patients with moderate to severe symptoms
- - Corticosteroid-dependent vulvar dermatitis
- Patients with severe refractory disease
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS