Most frequent dermatoses at a vulvar pathology outpatient clinic

Abstract

The vulva corresponds to the external female genitalia. Special features of this region favor a wide range of diseases, whose knowledge allows for better clinical management, impacting on the quality of life. This is a cross-sectional and descriptive study carried out at a vulvar pathology outpatient clinic, between May and December/ 2015. Data obtained from a standard form included demographic parameters, habits, and vulvar dermatosis and allowed to identify the epidemiological profile of patients with vulvar dermatosis treated in this outpatient clinic and to determine the most prevalent dermatoses. Our results, partially concordant with the literature, provide original data that should stimulate further studies

Profile of Nonvenereal Female Genital Dermatoses: A Cross-Sectional Study From Eastern India

“…In our study, comorbid conditions were present in 27% cases, with diabetes being most prevalent (54.1%), contrary to findings of Sartori et al, 28 reporting 41.3% cases having comorbidities where most prevalent was systemic hypertension (51.6%). 28…”

Profile of Nonvenereal Female Genital Dermatoses: A Cross-Sectional Study From Eastern India

“…In our study, comorbid conditions were present in 27% cases, with diabetes being most prevalent (54.1%), contrary to findings of Sartori et al, 28 reporting 41.3% cases having comorbidities where most prevalent was systemic hypertension (51.6%). 28…”

Clinico-epidemiological Profile of Women with Non-venereal Vulval Diseases: A Hospital-based Observational Study

“…3,12,14. Other common symptoms were redness (32.00%), burning sensa on (26.67%), white lesions (24.00%) and pain (24.00%). Co-morbi es were reported in 21.33% in the present study as compared to 41.30% in the study by Sartori et al 13 Majority of pa ents were menstrual which is in agreement to the study from eastern Nepal but in contrast to the study from India wherein majority of pa ents were post-menopausal. 3,12 Irregular menses were observed in 12.00% of study popula on which is similar to the study done by Pathak et al (11.40%).…”

“…3 In the most recent study from Brazil, the commonest diagnosis was condyloma acuminata (37.3%) followed by lichen sclerosus (16.0%). 13 Among other factors, these varia ons in the commonest vulval diseases could be due to diff erent inclusion and exclusion criteria in the present and the aforemen oned studies.…”

“…3 It should be noted that we excluded pa ents with venereal diseases in the present study as compared to inclusion of venereal and non-venereal vulval diseases in the study by Pathak et al and Gokdemir et al 3,7 Nearly 3/4 th of pa ents were married which is similar to the results in study by Pathak et al and Singh et al 3,12 This is in contrast to the study by Sartori et al wherein majority (58.7%) were single women. 13 It should be noted that only 1/5 th of pa ents had received higher secondary educa on or above and 1/5 th had reported that they were engaged in some form of occupa on. This gives a rough portrayal of pa ent's knowledge, economic dependence, their prac ces and health seeking behavior, which could be poten al barriers in the op mal management of females with vulval diseases.…”

A prospective, 12‐month observational study of attendance to a multidisciplinary tertiary vulvar clinic in South Australia

“…Similar to comparable vulvar clinic observational studies, inflammatory vulvar dermatoses were the most frequently encountered conditions seen 1,3 . Compared to other studies, our clinic sees a disproportionately low number of patients with HPV‐associated disease including genital warts (condyloma) and premalignant and malignant lesions 1,5 . This is thought to be because these women are seen within other gynaecology sub‐specialty clinics (colposcopy and gynaecology‐oncology clinics) and Australia's HPV vaccine program, resulting in a downward trend of genital warts and HPV‐associated malignant lesions 6…”

Profile of Nonvenereal Female Genital Dermatoses: A Cross-Sectional Study From Eastern India

“…In our study, comorbid conditions were present in 27% cases, with diabetes being most prevalent (54.1%), contrary to findings of Sartori et al, 28 reporting 41.3% cases having comorbidities where most prevalent was systemic hypertension (51.6%). 28…”

Clinico-epidemiological Profile of Women with Non-venereal Vulval Diseases: A Hospital-based Observational Study

“…3,12,14. Other common symptoms were redness (32.00%), burning sensa on (26.67%), white lesions (24.00%) and pain (24.00%). Co-morbi es were reported in 21.33% in the present study as compared to 41.30% in the study by Sartori et al 13 Majority of pa ents were menstrual which is in agreement to the study from eastern Nepal but in contrast to the study from India wherein majority of pa ents were post-menopausal. 3,12 Irregular menses were observed in 12.00% of study popula on which is similar to the study done by Pathak et al (11.40%).…”

“…3 In the most recent study from Brazil, the commonest diagnosis was condyloma acuminata (37.3%) followed by lichen sclerosus (16.0%). 13 Among other factors, these varia ons in the commonest vulval diseases could be due to diff erent inclusion and exclusion criteria in the present and the aforemen oned studies.…”

“…3 It should be noted that we excluded pa ents with venereal diseases in the present study as compared to inclusion of venereal and non-venereal vulval diseases in the study by Pathak et al and Gokdemir et al 3,7 Nearly 3/4 th of pa ents were married which is similar to the results in study by Pathak et al and Singh et al 3,12 This is in contrast to the study by Sartori et al wherein majority (58.7%) were single women. 13 It should be noted that only 1/5 th of pa ents had received higher secondary educa on or above and 1/5 th had reported that they were engaged in some form of occupa on. This gives a rough portrayal of pa ent's knowledge, economic dependence, their prac ces and health seeking behavior, which could be poten al barriers in the op mal management of females with vulval diseases.…”

A prospective, 12‐month observational study of attendance to a multidisciplinary tertiary vulvar clinic in South Australia

“…Similar to comparable vulvar clinic observational studies, inflammatory vulvar dermatoses were the most frequently encountered conditions seen 1,3 . Compared to other studies, our clinic sees a disproportionately low number of patients with HPV‐associated disease including genital warts (condyloma) and premalignant and malignant lesions 1,5 . This is thought to be because these women are seen within other gynaecology sub‐specialty clinics (colposcopy and gynaecology‐oncology clinics) and Australia's HPV vaccine program, resulting in a downward trend of genital warts and HPV‐associated malignant lesions 6…”

Profile of Nonvenereal Female Genital Dermatoses: A Cross-Sectional Study From Eastern India

“…In our study, comorbid conditions were present in 27% cases, with diabetes being most prevalent (54.1%), contrary to findings of Sartori et al, 28 reporting 41.3% cases having comorbidities where most prevalent was systemic hypertension (51.6%). 28…”

Clinico-epidemiological Profile of Women with Non-venereal Vulval Diseases: A Hospital-based Observational Study

“…3,12,14. Other common symptoms were redness (32.00%), burning sensa on (26.67%), white lesions (24.00%) and pain (24.00%). Co-morbi es were reported in 21.33% in the present study as compared to 41.30% in the study by Sartori et al 13 Majority of pa ents were menstrual which is in agreement to the study from eastern Nepal but in contrast to the study from India wherein majority of pa ents were post-menopausal. 3,12 Irregular menses were observed in 12.00% of study popula on which is similar to the study done by Pathak et al (11.40%).…”

“…3 In the most recent study from Brazil, the commonest diagnosis was condyloma acuminata (37.3%) followed by lichen sclerosus (16.0%). 13 Among other factors, these varia ons in the commonest vulval diseases could be due to diff erent inclusion and exclusion criteria in the present and the aforemen oned studies.…”

“…3 It should be noted that we excluded pa ents with venereal diseases in the present study as compared to inclusion of venereal and non-venereal vulval diseases in the study by Pathak et al and Gokdemir et al 3,7 Nearly 3/4 th of pa ents were married which is similar to the results in study by Pathak et al and Singh et al 3,12 This is in contrast to the study by Sartori et al wherein majority (58.7%) were single women. 13 It should be noted that only 1/5 th of pa ents had received higher secondary educa on or above and 1/5 th had reported that they were engaged in some form of occupa on. This gives a rough portrayal of pa ent's knowledge, economic dependence, their prac ces and health seeking behavior, which could be poten al barriers in the op mal management of females with vulval diseases.…”

A prospective, 12‐month observational study of attendance to a multidisciplinary tertiary vulvar clinic in South Australia

“…Similar to comparable vulvar clinic observational studies, inflammatory vulvar dermatoses were the most frequently encountered conditions seen 1,3 . Compared to other studies, our clinic sees a disproportionately low number of patients with HPV‐associated disease including genital warts (condyloma) and premalignant and malignant lesions 1,5 . This is thought to be because these women are seen within other gynaecology sub‐specialty clinics (colposcopy and gynaecology‐oncology clinics) and Australia's HPV vaccine program, resulting in a downward trend of genital warts and HPV‐associated malignant lesions 6…”