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Vulvar Dermatitis

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21. Vulvar Contact Dermatitis Resulting From Urine Incontinence

Vulvar Contact Dermatitis Resulting From Urine Incontinence Vulvar Contact Dermatitis Resulting From Urine Incontinence - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Vulvar Contact Dermatitis Resulting (...) Description Go to Brief Summary: Vulvar contact dermatitis (VCD) is a common problem presenting as vulvar pruritus, burning or irritation. Its estimated prevalence is 20-30% in vulvar clinics, but the prevalence in the general population is unknown. Contact dermatitis is an inflammation of the skin resulting from an external agent that acts as an irritant or as an allergen. The skin reaction may be acute, subacute or chronic, resulting from prolonged exposure to weak irritating substances. The most common

2011 Clinical Trials

22. Treatment of vulvar Paget disease with topical imiquimod: a case report and review of the literature Full Text available with Trip Pro

Treatment of vulvar Paget disease with topical imiquimod: a case report and review of the literature Extramammary Paget's disease is a cutaneous neoplasm that presents as erythematous crusted patches and plaques reminiscent of contact dermatitis or inverse psoriasis that can be a challenge to treat in a tissue-sparing manner. The most commonly involved site for this rare disorder is the anogenital region. Surgery is considered as the gold standard therapy. In the last years, the topical use

2011 Journal of dermatological case reports

23. ASTRO Guideline on Definitive and Postoperative Radiation Therapy for Basal and Squamous Cell Cancers of the Skin

are several related topics, including RT and systemic therapy in the setting of metastatic BCC and cSCC, dermatopathologic aspects of skin cancer diagnosis, nuances of surgical management and the technical details of radiation delivery for skin cancer. Additionally, this guideline does not pertain to the management of mucosal head and neck squamous cell carcinoma, vulvar, penile, or perianal skin carcinoma. Table 2. KQs in Population, Intervention, Comparator, Outcome (PICO) format KQ Population (...) is beneficial for this population. RT, like all cancer interventions, carries risks. For RT this includes acute dermatitis, dryness, permanent local alopecia, telangiectasias and – in rare cases – secondary malignancy. 30 Two important principles for RT treatment are that (1) histologic confirmation is required prior to initiation of treatment and (2) overall life expectancy should be considered and discussed with younger patients, for whom a larger lifetime risk of developing secondary malignancy

2020 American Society for Radiation Oncology

24. Genitourinary syndrome of menopause

, vulvar vestibule, and the upper vagina all derived from the same estrogen receptor (ER)-rich primitive urogeni- tal sinus tissue. 14 The vulva is also derived from the urogenital sinus, but the epithelium of the labia majora is of ectodermal origin. The vagina is composed of an inner stratified squa- mous epithelium, a middle muscular layer, and an outer fibrous layer. In the presence of endogenous estrogen after puberty and before menopause, the lining of the vagina is characterized by a thickened (...) . Symptoms similar to GSM result from many other con- ditions. The differential diagnosis includes allergic or inflammatory conditions (eg, lichen sclerosus, erosive lichen planus, desquamative inflammatory vaginitis, con- tact dermatitis, and cicatricial pemphigoid), vulvovaginal candidiasis and other infections, trauma, foreign bodies, malignancy, vulvodynia, vestibulodynia, chronic pelvic pain, provoked pelvic floor hypertonia (previously known as vaginismus), and other medical conditions (eg

2020 The North American Menopause Society

25. Assessment of dyspareunia

in the pelvis. Differentials Vaginitis and vulvovaginitis Herpes simplex infection Vaginal atrophy Iatrogenic Primary inadequate lubrication Vestibulodynia/vulvodynia Endometriosis Adenomyosis Leiomyomas Interstitial cystitis Urinary tract infection Bartholin's gland abscess Seminal plasma hypersensitivity Contact dermatitis Atopic dermatitis Bartholin's gland mass Imperforate hymen Traumatic perineal injuries Vulvar dystrophies Vaginismus Psychosexual disorder Cervicitis Pelvic inflammatory disease

2018 BMJ Best Practice

26. Mometasone

performed a two-stage, parallel, randomized, double-blind, double-dummy, clinical trial with 240 AH children with concomitant perennial AR. During the first stage, all children were randomly assigned to the MF or control group for six weeks of treatment. During the second stage, the non 2017 11. Continuous versus tapering application of the potent topical corticosteroid mometasone furoate in the treatment of vulvar lichen sclerosus: results from a randomized trial. 26280156 2015 12 28 2016 10 05 2016 12 (...) 30 1365-2133 173 6 2015 Dec The British journal of dermatology Br. J. Dermatol. Continuous vs. tapering application of the potent topical corticosteroid mometasone furoate in the treatment of vulvar lichen sclerosus: results of a randomized trial. 1381-6 10.1111/bjd.14074 Topical (...) corticosteroids are the first-line treatment for vulvar lichen sclerosus (VLS). However, evidence on the most appropriate treatment regimen is lacking. To compare the effectiveness and tolerability of tapering vs

2018 Trip Latest and Greatest

27. Pruritus

dermatitis (AD). Pruritus may be the result of a dermatological or non-dermatological disease. Especially in non-diseased skin it may be caused by systemic, neurological or psychiatric diseases, as well as being a side effect of medications. In a number of cases CP may be of multifactorial origin. Pruritus needs a precise diagnostic work-up. Management of CP comprises treatment of the underlying disease and topical treatment modalities, including symptomatic antipruritic treatment, ultraviolet (...) : experts in the field from Europe. More than 30% are European Academy of Dermatology and Venereology (EADV) members 3 Abbreviations and explanations AD Atopic dermatitis AEP Atopic eruption of pregnancy CGRP Calcitonin gene-related peptide CKD Chronic kidney disease CNS Central nervous system CNPG Chronic nodular prurigo CP Chronic pruritus (longer than 6 weeks) CPG Chronic prurigo CSU Chronic spontaneous urticaria DIF Direct immunofluorescence ICP Intrahepatic cholestasis of pregnancy IFSI

2019 European Dermatology Forum

28. Chronic Pelvic Pain

cystitis. Urology, 2007. 70: 16. 153. Reissing, E.D., et al. Pelvic floor muscle functioning in women with vulvar vestibulitis syndrome. J Psychosom Obstet Gynaecol, 2005. 26: 107. 154. Nickel , J., et al. Management of men diagnosed with chronic prostatitis/chronic pelvic pain syndrome who have failed traditional management. Rev Urol, 2007. 9: 63. 155. Nickel, J.C., et al. Chronic Prostate Inflammation Predicts Symptom Progression in Patients with Chronic Prostatitis/Chronic Pelvic Pain. J Urol, 2017

2019 European Association of Urology

29. Recurrent Uncomplicated Urinary Tract Infections in Women

. A focused examination to document any other infectious and inflammatory conditions, such as vaginitis, vulvar dermatitis, and vaginal atrophy (genitourinary syndrome of menopause) should also be performed. The pelvic floor musculature should be examined for tone, tenderness, and trigger points. 74 A focused neurological exam to rule out occult neurologic defects may also be considered. Evaluation for incomplete bladder emptying to rule out occult retention can be considered for all patients, but should (...) , a 10 5 CFU/mL threshold for bacterial growth on midstream voided urine may help distinguish bladder bacteriuria from vaginal contamination in asymptomatic, pre-menopausal women, but a lower 10 2 CFU/mL threshold may be appropriate in symptomatic individuals. Disorders such as interstitial cystitis/bladder pain syndrome, OAB, genitourinary syndrome of menopause, urinary calculi, infectious bacterial or fungal vaginitis, vulvar dermatitis, non-infectious vulvovestibulitis, vulvodynia, hypertonic

2019 American Urological Association

30. Guidelines for the Management of Genital, Anal and Throat HPV Infection in New Zealand

Human Papillomavirus LSIL Low-grade Squamous Intraepithelial Lesion MSM Men who have Sex with Men NCSP National Cervical Screening Programme PCR Polymerase Chain Reaction amplification PIN Penile Intraepithelial Neoplasia RRP Recurrent Respiratory Papillomatosis SCC Squamous Cell Carcinoma SIL Squamous Intraepithelial Lesion STI Sexually Transmitted Infection TCA Trichlorocetic Acid VaIN Vaginal Intraepithelial Neoplasia VIN Vulvar Intraepithelial Neoplasia VLP Virus-Like Particle2 WHAT’S NEW

2017 New Zealand Sexual Health Society

31. Guidelines for the Management of Genital Herpes in New Zealand

of determining that the patient has a recurrent episode, but other genital conditions may mimic and/or coexist with recurrent herpes, and careful examination of the genitalia should always form part of the diagnostic procedure. • Common differential diagnoses include lichen sclerosus, fissuring due to candidiasis, folliculitis, bacterial skin infections, dermatitis and any other skin conditions that cause itching and fragility of the skin. • Uncommon conditions include erythemea multiforme, hidradenitis

2017 New Zealand Sexual Health Society

32. Pruritus vulvae: How should I assess a woman with pruritus vulvae?

and onset of symptoms. Extragenital itch may indicate a more generalized problem. For more information, see the CKS topic on . Lichen sclerosus is normally confined to the vulva, typically does not affect the vagina and very rarely involves the oral mucosa, while lichen planus may affect the vagina, skin, hair, nails, as well as genital and oral mucous membranes. Acute onset is associated with allergic contact dermatitis, or vulvovaginal candidiasis (which is the most common cause of acute vulval itch (...) washing may result in vulval irritation or even contact dermatitis. Prescribed and over the counter medicines Topical antifungal creams, hormone replacement therapy creams, or pessaries may cause irritation. Systemic medicines may cause fixed drug reactions. Spermicides, or the latex in condoms or diaphragms may cause allergic reactions in some women. Medical history A personal or family history of skin disorders or atopic conditions such as hayfever, asthma, or eczema — a positive family history

2018 NICE Clinical Knowledge Summaries

33. Lichen Sclerosus

(scleros* or atrophi* or albu* or scleureu* or sclero-atrophi* or vulva* or genita*)).ab,ti. 3. "white spot* diseas*".ab,ti. 4. exp Vulvar Lichen Sclerosus/ 5. "kraurosi* vulva*".ab,ti. 6. (vulva* and (atroph* or dystroph*)).ab,ti. 7. exp Balanitis Xerotica Obliterans/ 8. balaniti* xerotic* oblitera*.ab,ti. 9. "kraurosi* peni*".ab,ti. 10. 1 or 2 or 3 or 4 or 5 or 6 or 7 or 8 or 9 11. Randomized Controlled Trials as Topic/ 12. randomized controlled trial/ 13. Random Allocation/ 14. Double-Blind Method (...) (blind$3 or mask$3)).tw. 29. Placebos/ 30. placebo$.tw. 31. randomly allocated.tw. 32. (allocated adj2 random$).tw. 33. 27 or 28 or 29 or 30 or 31 or 32 34. 26 or 33 35. case report.tw. 36. letter/ 37. historical article/ 38. 35 or 36 or 37 39. 34 not 38 40. 10 and 39 MEDLINE search for case reports 1. exp Lichen Sclerosus et Atrophicus/ 2. (lichen adj3 (scleros* or atrophi* or albu* or scleureu* or sclero-atrophi* or vulva* or genita*)).ab,ti. 3. "white spot* diseas*".ab,ti. 4. exp Vulvar Lichen

2018 European Dermatology Forum

34. Lichen Planus

and is rare in children. The lesions usually involve the skin (cutaneous lichen planus), the oral cavity (oral lichen planus), the genitalia (penile or vulvar lichen planus), the scalp (lichen planopilaris), nails (lichen unguis), or extra-cutaneously (e.g. the esophagus). The diagnosis and management of lichen planus will be reviewed here. Despite the high prevalence of the disease and the variety of therapeutic options available, no national or international evidence-based guidelines for treatment exist (...) host disease Lichen striatus, Linear epidermal nevus, Nevus unius lateralis • Eczema, Lichen simplex chronicus, Prurigo nodularis 9 • Pityriasis rosea, Guttate Psoriasis, Psoriasis vulgaris, Ekzematid-like Purpura • Drug eruption, Syphilis, Tinea corporis, Papular acrodermatitis of childhood • Granuloma annulare, Lichen amyloidosus, Pityriasis lichenoides, Kaposi sarcoma Table 1. Differential diagnosis of site-specific LP Nail Psoriasis, onychomycosis, alopecia areata, atopic dermatitis Genital

2018 European Dermatology Forum

36. Chronic Pelvic Pain

cystitis. Urology, 2007. 70: 16. 153. Reissing, E.D., et al. Pelvic floor muscle functioning in women with vulvar vestibulitis syndrome. J Psychosom Obstet Gynaecol, 2005. 26: 107. 154. Nickel , J., et al. Management of men diagnosed with chronic prostatitis/chronic pelvic pain syndrome who have failed traditional management. Rev Urol, 2007. 9: 63. 155. Nickel, J.C., et al. Chronic Prostate Inflammation Predicts Symptom Progression in Patients with Chronic Prostatitis/Chronic Pelvic Pain. J Urol, 2017

2018 European Association of Urology

37. Pruritus vulvae: Scenario: Management of pruritus vulvae

. A general treatment approach, including restoring the skin barrier, reducing inflammation, symptomatic relief, and preventing and treating secondary infection has the potential to address vulvar symptoms caused by eczematous dermatitis, lichen simplex chronicus, and allergic or irritant contact dermatitis [ ]. This approach also may significantly improve symptoms of lichen sclerosus, lichen planus, and psoriasis [ ]. Opinion from CKS expert reviewers was divided regarding the use of low potency topical (...) discussion follows, with links to other relevant CKS topics. Most women who present with pruritus vulvae have an identifiable cause which can be managed, including: . . . . . . How should I manage dermatological conditions? Manage the underlying dermatological cause of pruritus vulvae in primary care where appropriate. Contact dermatitis Identify and remove exposure to irritants (for example soaps and deodorants). For mild itching, consider prescribing a mild potency topical corticosteroid ointment

2017 NICE Clinical Knowledge Summaries

38. Extramammary Paget Disease: In Vivo Dynamic Optical Coherence Tomography Imaging. (Abstract)

Extramammary Paget Disease: In Vivo Dynamic Optical Coherence Tomography Imaging. Extramammary Paget's disease (EMPD) is a rare, slow-growing cancer related to Paget's disease of the breast, or mammary Paget's disease (MPD). EMPD most commonly affects hormonally targeted tissues, such as vulvar skin in women and scrotal skin in men. Generally, a biopsy is required to establish the diagnosis. We report a case of a EMPD of the scrotum and highlight the use of dynamic optical coherence tomography (...) (D-OCT) as a diagnostic adjunct. A 60-year-old man presented with a three-year history of an enlarging red rash on the scrotum. The patient's medical history was unremarkable except for benign prostatic hypertrophy, and he denied any personal history of malignancy. His first symptom was itching with no reported pain or bleeding. It was initially treated as dermatitis or possible fungal infection without any improvement. On physical examination, an erythematous hypertrophic plaque with ill-defined

2020 Journal of the European Academy of Dermatology and Venereology

39. Pruritus vulvae: What are the possible causes of pruritus vulvae?

Pruritus vulvae: What are the possible causes of pruritus vulvae? Causes | Diagnosis | Pruritus vulvae | CKS | NICE Search CKS… Menu Causes Pruritus vulvae: What are the possible causes of pruritus vulvae? Last revised in May 2017 What are the possible causes of pruritus vulvae? Which dermatological conditions can cause pruritus vulvae? Contact dermatitis is the most common cause of pruritus vulvae — it is an inflammatory reaction with itch as the main symptom. Lichenification (...) and hyperpigmentation occurs when dermatitis is chronic. It can be caused by: Proprietary creams (especially those containing local anaesthetics). Topical antibiotic preparations (for example, neomycin). Barrier contraceptives or lubricants. Perfumes, soaps, bubble baths, or wet wipes. Detergents, fabric conditioners, bleaches, or dyes. Psoriasis — due to the moisture and friction of skin folds, the classic psoriatic lesion (well-demarcated border, with erythematous plaques and silvery scale) is replaced

2016 NICE Clinical Knowledge Summaries

40. Pruritus vulvae: What investigations should I consider?

swabs for: Candida sp. — swabs can be considered in all women, as there may be little or no discharge with chronic vulvovaginal candidiasis. For more information, see the CKS topic on . Other infections, if suspected, such as bacterial vaginosis or trichomoniasis. For more information, see the CKS topic on . Referral for patch testing — rarely required. If an allergic contact dermatitis is suspected. Referral for consideration of skin biopsy — if pruritus vulvae is resistant to treatment or a vulval (...) Practice guide Assessment of pruritus [ ], the 2016 European guideline for the management of vulval conditions [ ], and expert opinion in a narrative review Vulvar dermatoses: a practical approach to evaluation and management [ ]. © .

2016 NICE Clinical Knowledge Summaries

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