Inflammatory Vulvar Dermatoses

Clin Obstet Gynecol. 2015 Sep;58(3):464-75. doi: 10.1097/GRF.0000000000000125.

Abstract

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.

Publication types

  • Review

MeSH terms

  • Administration, Cutaneous
  • Administration, Oral
  • Adrenal Cortex Hormones / therapeutic use
  • Dermatitis, Contact / diagnosis
  • Dermatitis, Contact / therapy
  • Female
  • Humans
  • Lichen Planus / diagnosis
  • Lichen Planus / therapy
  • Neurodermatitis / diagnosis
  • Neurodermatitis / therapy
  • Psoriasis / diagnosis
  • Psoriasis / therapy
  • Skin Care / methods
  • Skin Diseases / diagnosis*
  • Skin Diseases / therapy
  • Vulvar Diseases / diagnosis*
  • Vulvar Diseases / therapy
  • Vulvar Lichen Sclerosus / diagnosis
  • Vulvar Lichen Sclerosus / therapy
  • Vulvitis / diagnosis
  • Vulvitis / therapy

Substances

  • Adrenal Cortex Hormones