Contact Dermatitis of the Vulva

Schlosser, Bethanee J.

doi:10.1016/j.det.2010.08.006

Cited by 59 publications

(49 citation statements)

References 32 publications

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“…Clinical features [61,62] In acute vulvar dermatitis, there is an ill-defined erythema diversely associated with swelling, oozing, vesicles or erosions. Ulcers or papulonodular ulcerated lesions are observed in irritant dermatitis only [64] either in children, on the napkin area or in the case of urinary incontinence in the elderly.…”

Section: Symptoms [63]mentioning

confidence: 99%

“…Aetiology [61,62] Contact dermatitis is an inflammation provoked by an external agent acting as an irritant or an allergen. Contact dermatitis can complicate the topical treatment of a pre-existing vulvar condition.…”

Section: Contact Dermatitis Epidemiologymentioning

confidence: 99%

“…Treatment [61,62] The treatment of contact vulvitis consists in eradicating the offending agent or changing inappropriate hygiene habits. TCS help rapidly control itching and inflammation.…”

Section: Evolutionmentioning

confidence: 99%

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Vulvar dermatosis

Moyal‐Barracco¹,

Wendling²

2014

Best Practice & Research Clinical Obstetrics & Gynaecol

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Vulvar dermatoses are inflammatory conditions responsible for chronic or recurrent itching and soreness. The lesions are either circumscribed to the vulva or associated with extragenital localizations which may help to assess the diagnosis. They should be differentiated from infectious or neoplastic diseases which may have clinical similarities. As opposed to the majority of all dermatoses that have a benign and regular course, lichen sclerosus or lichen planus could exceptionally foster the occurrence of an epithelial cancer precursor which may evolve to squamous cell carcinoma. Topical corticosteroids are the mainstay treatment of vulvar dermatosis. We do not know if the treatment of vulvar lichen sclerosus and vulvar lichen planus prevents squamous cell carcinoma.

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Section: Symptoms [63]mentioning

confidence: 99%

Section: Contact Dermatitis Epidemiologymentioning

confidence: 99%

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Vulvar dermatosis

Moyal‐Barracco¹,

Wendling²

2014

Best Practice & Research Clinical Obstetrics & Gynaecol

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“…Topical benzocaine cream, topical antibiotics (such as neomycin, polymixin, bacitracin), preservatives, and lanolin are just a sampling of the allergens that can cause allergic contact dermatitis of the vulva. 11 Some of these medications may have been used as a result of the patient trying to relieve her symptoms with over-the-counter products marketed to help vulvovaginal symptoms. Thus, when taking a thorough history of a patient with suspected contact dermatitis, it is necessary to ask about exposures to these triggering substances.…”

Section: Presentationmentioning

confidence: 99%

Inflammatory Vulvar Dermatoses

Guerrero

Venkatesan

2015

Clinical Obstetrics &Amp; Gynecology

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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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“…1,2,4,5 Contact dermatitis can be caused by an allergen that produces an immune response or an irritant that directly damages vulvar skin. Sometimes response can be immediate, as in the case of an irritant; other times, it can be delayed, as in the allergic response.…”

Section: Contact Dermatitismentioning

confidence: 99%