Atopic and Contact Dermatitis of the Vulva

作者：Pichardo Geisinger Rita^*

来源：Obstetrics and Gynecology Clinics of North America, 2017, 44(3): 371-+.

DOI：10.1016/j.ogc.2017.05.003

• Atopic dermatitis
• Eczema
• Lichen simplex chronicus
• Contact dermatitis
• Irritant dermatitis

Pruritus, or itch, is a common vulvar complaint that is very often treated empirically as a yeast infection; however, yeast infections are just one of the many conditions that can cause vulvar itch. Ignoring these other conditions can do a disservice to your patient by prolonging their pruritus unnecessarily. Atopic dermatitis, irritant contact dermatitis, and allergic contact dermatitis are extremely common noninfectious causes of vulvar itch that are often underdiagnosed by nondermatologists. Up to 50% of cases of chronic vulvovaginal pruritus in adult women can be attributed to irritant and allergic contact dermatitis,(1) and atopic and irritant contact dermatitis are the most common vulvar disorders that present among prepubertal girls, representing one-third of all patients in an Australian series with vulvar disease? Identifying these conditions and treating them appropriately can significantly improve a patient's quality of life and appropriately decrease health care expenditures by preventing unnecessary additional referrals or follow-up visits and decreasing pharmaceutical costs.

• 出版日期2017-9