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Pruritus vulvae - Management
Basis for recommendation
The information and descriptions of the underlying causes of pruritus vulvae is based on published expert opinion [Nunns, 2002; Doxanakis et al, 2004; Margesson, 2004; Bohl, 2005].
Contact dermatitis
- The information that contact dermatitis is the most frequently encountered and avoidable condition seen in clinics that specialize in vulval disorders is based on published expert opinion [ACOG, 2008] and is supported by one small observational study. In the study, of 141 women with chronic vulval symptoms who were referred to a dermatologist, dermatitis was identified as the commonest cause (54%). Other commonly seen conditions were lichen sclerosus (13%), chronic vulvovaginal candidiasis (10%), dysaesthetic vulvodynia (9%), and psoriasis (5%) [Fischer, 1996].
Lichen simplex and lichen planus
Lichen sclerosus
- The description of lichen sclerosus is published expert opinion [BAD, 2010].
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