Vulvar pruritus-Causes, Diagnosis and Therapeutic Approach.
Dtsch Arztebl Int
; 116(8): 126-133, 2020 02 21.
Article
en En
| MEDLINE
| ID: mdl-32181734
ABSTRACT
BACKGROUND:
In Germany, 17-23% of the population suffers from chronic itching of the skin; in 5-10% of cases, the female genitalia are affected, specifically, the vulva. Vulvar pruritus is thus a common symptom that often markedly impairs the affected women's quality of life.METHODS:
This review is based on pertinent publications that were retrieved by a selective search in MEDLINE/PubMed for articles on the pathogenesis, diagnosis, and treatment of vul- var pruritus. The search terms were (in German and English) "vulvärer Juckreiz," "pruritus vulvae," and "genital itch," alone and in combination with "Behandlung," "Therapie," or "treat- ment."RESULTS:
The most common cause of vulvar pruritus is vulvo- vaginal candidiasis followed by chronic dermatoses, such as lichen sclerosus and vulvar eczema. Especially in refractory cases, an invasive or preinvasive lesion such as squamous epithelial dysplasia (VIN, vulvar intraepithelial neoplasia) should be borne in mind in the differential diagnosis. Rarer causes include infection, atrophy, and vulvodynia. The essen- tial elements of treatment are topical/oral antimycotic drugs and high-potency glucocorticoids, along with consistently ap- plied, basic moisturizing care and the avoidance of potential triggering factors.CONCLUSION:
As vulvar pruritus has multiple causes, standard- ization of its diagnostic evaluation and treatment would be l efficacy and to meet the diverse needs of women who suffer from this condition.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Prurito Vulvar
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Aspecto:
Patient_preference
Límite:
Female
/
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
Dtsch Arztebl Int
Asunto de la revista:
MEDICINA
/
SAUDE PUBLICA
Año:
2020
Tipo del documento:
Article
País de afiliación:
Alemania