Dermatology

July 2011

FocusDermatology

Common vulval dermatoses

Volume 40, No.7, July 2011 Pages 490-496

Catherine Drummond

Background

The vulva is skin, and it is helpful to approach vulval conditions from a dermatological perspective. The vulva is affected by the same dermatoses as the rest of the skin, but modified in appearance by special influences.

Objective/s

This article will outline an approach to the diagnosis and management of vulval dermatoses.

Discussion

Vulval disorders present as infections, rashes and lesions, and pain. This article considers inflammatory vulval disorders that present as erythematous rashes, pallor or erosions and ulcers. Most vulval dermatoses are recurrent or chronic and may require maintenance therapy. Chronic painful and itchy vulval conditions can lead to secondary pelvic floor spasm and a sensory neuropathy. Many vulval disorders are multifactorial and can benefit from a multidisciplinary approach to management.

Vulval medicine spans dermatology, gynaecology and sexual health. Many conditions affecting the vulva are dermatological, modified by anatomical, hormonal and microbiological influences. Dermatoses that affect the vulva are the same as those that affect the rest of the skin, but the appearance is modified by the environment which produces heat, friction and occlusion. Vulval disorders present as infections, rashes, lesions and pigmentation, and pain. This article considers inflammatory vulval dermatoses that present as rashes that are erythematous, pale or erosive (Table 1).

Download the PDF for the full article.

Correspondence afp@racgp.org.au

Yes     No

Declaration of competing interests *

Yes No

Additional Author (remove)

Yes No

    

 

 

 

 

Competing Interests: 

Your comment is being submitted, please wait

Download citation in RIS format (EndNote, Zotero, RefMan, RefWorks)

Download citation in BIBTEX format (RefMan)

Download citation in REFER format (EndNote, Zotero, RefMan, RefWorks)

For more information see Wikipedia: Comparison of reference management software