Vulva

Vulvar Dermatitis

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Vulvar Dermatitis, Vulvar Dermatoses

  • Definitions
  1. Vulvar Dermatitis (Vulvar Dermatoses)
    1. Non-neoplastic epithelial disorders of the vulva
  • Causes
  • Bullous Vulvar Dermatoses
  • Causes
  • Systemic Disease and other causes
  • Management
  1. General approach
    1. Exclude neoplasm
    2. Treat specific causes (including systemic causes)
  2. Low Potency Corticosteroids may be trialed
    1. Hydrocortisone ointment (1% or 2.5%)
  3. Moderate Potency Corticosteroid (e.g. triamcinolone) Indications
    1. Vulvar Lichen Simplex Chronicus
  4. High Potency Corticosteroid (e.g. Clobetasol) indications
    1. Lichen Sclerosis
    2. Lichen Planus
  5. Topical Anesthetics
    1. Lidocaine (Xylocaine) 2-5% ointment
      1. Short-term use only and expect variable efficacy
    2. Avoid benzocaine
      1. Risk of Allergic Contact Dermatitis
  6. Bland Emollients
    1. Milk compresses
    2. Vegetable oil compresses
    3. Plastic ice pack (<20 min/hour)