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KMID : 0363220210590020118
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Korean Journal of Dermatology
2021 Volume.59 No. 2 p.118 ~ p.124
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Clinical Analysis of Vulvar Dermatoses Seen in the Department of Dermatology from the Perspective of Hygiene Management in Vulvar Eczema
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Seol Jung-Eun
Cho Gyeong-Je
Jin Woo-Jung
Park So-Hee
Jung So-Young
Kim Hyo-Jin
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Abstract
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Background: Vulvar dermatoses are common, but numerous obstacles impede their adequate clinical investigation.
Many outpatient patients with vulvar dermatoses had inappropriate behavioral habits to manage their diseases.
Objective: This study was performed to investigate the clinical aspects of vulvar dermatoses and to evaluate the proper management for vulvar eczema and pruritus vulvae.
Methods: We retrospectively reviewed medical records from female patients presenting with vulvar dermatoses in a tertiary hospital and analyzed the age, clinical manifestation, diagnosis, and further evaluated treatment and clinical course of vulvar eczema and pruritus vulvae.
Results: A total of 163 patients were reviewed in this study. The most frequent type of skin manifestation was macule/patch, with itching as the most common symptom. Lichen simplex chronicus (35, 21.5%) was the most common dermatosis, followed by lichen sclerosus et atrophicus (21, 12.9%) and Behcet’s disease (18, 11.0%). In addition, 57 patients (35.0%) suffered from acute/chronic vulvar eczema or pruritus vulvae and over half of them had been misdiagnosed as fungal infection or had mistreated themselves with multiple self-products. These patients mostly showed good response to hygiene management plus low potency topical corticosteroids.
Conclusion: In this study, we identified clinically common vulvar dermatoses in a cohort of women visiting our dermatology clinic. We found that patients with vulvar eczema or pruritus vulvae suffered from misdiagnosis and inappropriate self-management sustained patients’ problems. They could be effectively controlled by education of hygiene management with/without steroids. Further prospective investigation with a larger group of patients would provide better understanding of the characteristics of vulvar dermatoses.
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KEYWORD
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Analysis, Eczema, Hygiene, Lichen simplex chronicus, Vulva
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