2014 UK national guideline on the management of vulval conditions

Edwards, Sarah; Bates, Christine; Lewis, Fiona M.; Sethi, G; Grover, Deepa

doi:10.1177/0956462414554271

Cited by 52 publications

(44 citation statements)

References 54 publications

(38 reference statements)

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“…In patients with suspected opportunistic bacterial or fungal infections topical antibiotics or ketoconazole/miconazole should be implemented to prevent the Koebner effect [11]. Conservative treatment of genital psoriasis includes use of mild emollients and avoiding exposure to local irritating factors [33]. Phototherapy and laser therapy are not recommended in the genital area [34].…”

Section: Treatmentmentioning

confidence: 99%

Genital psoriasis: a hidden multidisciplinary problem — a review of literature

et al. 2016

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Genital psoriasis is a variety of autoimmune dermatological disease -psoriasis with relapsing-remitting course, which can have an onset in all age groups. It is most often diagnosed at an advanced stage. Genital psoriasis is considered an embarrassing condition and is often misjudged as a sexually transmitted disease or allergic reaction due to low social awareness of the disease. The manifestations of genital psoriasis may differ from typical genital dermatoses and with symptoms such as itch, erythroderma and vaginal discharge may mimic other diseases at an early stage. The diagnosis and treatment of genital psoriasis may be difficult and often requires a multidisciplinary approach. The aim of this article is to present the literature review of genital psoriasis concentrating on the clinical presentation, treatment and influence on the quality of patients' life and sexual activity disorders.

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Section: Treatmentmentioning

confidence: 99%

Genital psoriasis: a hidden multidisciplinary problem — a review of literature

et al. 2016

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“…The stronger steroids can then be replaced by milder 1% -2.5% hydrocortisone ointment as needed. However, topical steroids are capable to causing local adverse effects, like epidermal atrophy and hypersensitivity reactions [4].…”

Section: Discussionmentioning

confidence: 99%

“…Use of emollient soap substitute and topical corticosteroid-the choice of preparation will depend on severity, 1% Hydrocortisone ointment in milder cases, or betamethasone valerate 0.025% or clobetasol propionate 0.05% for limited periods are important elements of care [4].…”

Section: * Corresponding Authormentioning

confidence: 99%

Vulvar Contact Dermatitis: Effect of a Treatment with a Anti-Inflammatory, Moisturizing and Healing Product on the Course of the Disease

Murina¹,

Vicariotto²

2016

OJOG

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Background: Vulvar contact dermatitis is inflammatory disorders of genital skin causing itch, burning, and plaques with overlying excoriation and linear fissures. Objective: To assess the effectiveness of a soft foam based on Tiab® system (TF), complex of titanium micro crystals covalently bound with silver ions associated with hyaluronic acid, as a treatment of vulvar contact dermatitis. Method: 36 patients with the diagnosis of vulvar contact dermatitis received an 10-days treatment, during which the subjects applied TF, complex of titanium micro crystals covalently bound with silver ions associated with hyaluronic acid on the affected vulvar surfaces, used once a day. Clinical symptoms (itching and burning) and signs (vulvar surface disruption) were documented at baseline and after 1 months of follow-up. Results: There was a significant reduction of symptoms between the basal scores and the symptoms complaints 1 months of follow-up. Moreover a significant reduction of excoriations and linear fissures was observed. Conclusion: The present study shows that application of TF can be an effective agents for the reduction of symptom and sign of vulvar contact dermatitis, and the medical device can be used as a preventive agent in predisposing condition of vulvar discomfort.

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“…Perform serum ferritin level test (5% of patients may experience pruritus and soreness secondary to iron deficiency10)…”

Section: How Do I Assess a Patient?mentioning

confidence: 99%