“…We believe it is because most of the infections are treated by general practioners or even gynecologists, in primary care. These data are, though, similar to what was found by Anemuller et al . Psoriasis, which is also counted as one of the most important vulvar dermatoses, together with some other diseases, such as condylomata acuminata, bullous diseases (pemphigus vulgaris), vitiligo, lupus, and melanocytic nevi, were not numerous (or nonexistent at all) in our casuistic because in the dermatology department of HCFMUSP, there are specific outpatient services that treat these conditions, therefore, these patients are not referred to the vulvar clinic (Fig.…”