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Vulvar dermatology

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https://www.readbyqxmd.com/read/29575850/ultrasonography-of-benign-vulvar-lesions
#1
Vincent Y T Cheung
With the increasing applications of ultrasonography in the field of dermatology, this imaging modality can be extended to identify and characterize common vulvar lesions, with a particular focus on their location, size, vascularity, and content. This pictorial essay provides an introduction to vulvar ultrasonography, including technical considerations, ultrasonographic anatomy, and the ultrasonographic appearances of some vulvar conditions.
February 13, 2018: Ultrasonography
https://www.readbyqxmd.com/read/29570138/vulvovaginal-disease-education-in-canadian-and-american-gynecology-residency-programs-a-survey-of-program-directors
#2
Christine Edwards, Nupur Dogra, Annet Antanrajakumar, Aparna Sarangapani, Amanda Selk
OBJECTIVE: The aims of the study were to assess and describe the current vulvovaginal curriculum in gynecology residency training programs in Canada and the United States and to compare this with national training objectives. MATERIALS AND METHODS: A 22-question electronic survey was sent to 252 gynecology program directors in Canada and the United States between September 2015 and July 2016 using the platform SurveyMonkey.com. Survey responses were entered into SPSS Version 23, and analysis was performed using descriptive statistics...
March 22, 2018: Journal of Lower Genital Tract Disease
https://www.readbyqxmd.com/read/29470358/is-vulvovaginal-lichen-planus-associated-with-squamous-cell-carcinoma
#3
Tania Day, Geoff Otton, Ken Jaaback, Julie Weigner, James Scurry
OBJECTIVE: The aim of the study was to assess for the presence of vulvar lichen planus (LP) in association with human papillomavirus (HPV)-independent squamous cell carcinoma (SCC). MATERIALS AND METHODS: We performed a clinicohistopathologic review of consecutive vulvectomies and wide local excisions for HPV-independent vulvar or vaginal SCC from 2007 to 2017. Data collected included site of SCC, adjacent precursor lesions and dermatoses, dermatologic treatment, and outcome...
April 2018: Journal of Lower Genital Tract Disease
https://www.readbyqxmd.com/read/29258952/5-aminolevulinic-acid-photodynamic-therapy-in-refractory-vulvar-lichen-sclerosus-et-atrophicus-series-of-ten-cases
#4
Ting Lan, Yongzhen Zou, Michael R Hamblin, Rui Yin
BACKGROUND: Vulvar lichen sclerosus et atrophicus (VLSA) is a chronic inflammatory skin disease of unknown etiology that mainly affects postmenopausal and perimenopausal women. The primary clinical symptoms of VLSA are itching, burning pain, and dyspareunia that can results in decreased quality of life. Existing therapies including topical corticosteroid ointment, topical calcineurin inhibitors, estrogens, are not very effective for treatment of VLSA. OBJECTIVE: To evaluate the effectiveness and safety of 5-aminolevulinic acid mediated photodynamic therapy (ALA-PDT) in the treatment of VLSA...
March 2018: Photodiagnosis and Photodynamic Therapy
https://www.readbyqxmd.com/read/28976126/unilateral-angiokeratoma-of-vulva-a-rare-clinic-entity
#5
Aytekin Tokmak, Demet Kokanalı, Nagihan Özcan Cengaver, Gülçin Yıldırım, Ali I Rfan Güzel, Nafiye Yılmaz
The aim of this study is to present a very rare dermatologic condition of the vulva. Angiokeratoma is a benign dilation of ectatic thin-walled blood vessels and congested capillaries in the superficial dermal layer of skin. It occurs predominantly in men and extremely rare in women. Angiokeratoma presents as single or multiple papular lesions on the vulva with smooth or verrucous surface. These lesions are easily confused with infectious disease, inflammatory lesions, and epithelial tumors. In this report, we presented a 42 year old unmarried woman who was admitted to our clinic with complaints of two papuler lesions of the right labium majus with vaginal discharge, vulvar pruritis, and vulvar edema...
September 2017: Journal of Experimental Therapeutics & Oncology
https://www.readbyqxmd.com/read/28667573/urologic-dermatology-a-review
#6
REVIEW
Andrew W Stamm, Kathleen C Kobashi, Ksenija B Stefanovic
PURPOSE OF REVIEW: Genital dermatology represents a challenge to many providers. Though dermatologic lesions involving the genitalia may present to any of a number of practices, ranging from primary care to urology, gynecology, and dermatology, few training programs provide significant training regarding the diagnosis and management of genital dermatologic lesions. The purpose of this review is to provide urologists with an overview of common genital dermatological lesions that may be encountered in a clinic...
August 2017: Current Urology Reports
https://www.readbyqxmd.com/read/28458775/vulvar-asymmetry-due-to-silicone-migration-and-granulomatous-immune-response-following-injection-for-buttock-augmentation
#7
David B Harker, Jake E Turrentine, Seemal R Desai
A 34-year-old woman was referred to the authors' dermatology clinic for evaluation of right labial swelling and dyspareunia. Her symptoms began after receiving a liquid silicone injection into the buttocks at a cosmetic plastic surgery clinic that was operating illegally by an unlicensed provider. A single prior debulking surgery had produced only temporary relief of symptoms, and the swelling returned. Work-up including magnetic resonance imaging and skin biopsy revealed migration of the injected silicone from her buttock to the subcutaneous tissue of the right labia majora, with an associated granulomatous immune response to the silicone...
April 2017: Journal of Clinical and Aesthetic Dermatology
https://www.readbyqxmd.com/read/28442799/study-of-pruritus-vulvae-in-geriatric-age-group-in-tertiary-hospital
#8
Jasleen Kaur, Jyotika Kalsy
BACKGROUND: According to the World Health Organization criteria, geriatric population is people above 60 years of age. In this phase of life, a woman has already gone through menopause and its associated emotional, physical, and hormonal changes. These changes are due to gradual loss of estrogen that comes with menopause which results in dramatic changes in the appearance of vulva and vagina. With age, skin of vulva becomes thin, loses elasticity, and moisture so that the patient starts feeling burning and itchy sensation...
January 2017: Indian Journal of Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/28381078/sexual-pain-in-women-quality-of-sex-life-and-marital-relations
#9
Anna Ghizzani, Cinzia Orlandini, Maria G Bernardi, Gabriele Cevenini, Stefano Luisi
Common gynecological and dermatological conditions resulting in sexual pain are seen often in gynecological practice and are easily diagnosed with visual observation and laboratory tests. The lower genital tract diseases we are referring to are: vaginitis, vaginoses, dermatoses, hypoestrogenism and endometriosis. All of them affect the vaginal mucosa with diverse mechanisms, their effects lasting for only few days or many months. Furthermore, they change the women's sense of well being sometimes significantly and for a long period...
April 4, 2017: Minerva Ginecologica
https://www.readbyqxmd.com/read/28217483/benign-vulvar-vestibular-papillomatosis-an-underreported-condition-in-indian-dermatological-literature
#10
Sushil Kakkar, Prafulla K Sharma
No abstract text is available yet for this article.
January 2017: Indian Dermatology Online Journal
https://www.readbyqxmd.com/read/28202196/vulvar-postoperative-care-gestalt-or-evidence-based-medicine-a-comprehensive-systematic-review
#11
REVIEW
Alon D Altman, Christine Robinson
OBJECTIVE: This paper reviews all current literature for vulvar postoperative care, and forms a summary of evidence based practice. DATA SOURCES: Scopus, Cochrane Library, CINHAL, Web of Science Core Collection, PubMed, Embase, Google Scholar, clinicaltrials.gov and Medline databases were searched. METHODS OF STUDY SELECTION: Various combinations of key-terms were used to identify relevant articles. All identified primary research articles and review articles were then examined with their references in order to identify further relevant studies...
May 2017: Gynecologic Oncology
https://www.readbyqxmd.com/read/28198008/vulvar-infections-beyond-sexually-transmitted-infections
#12
REVIEW
Rachel M Cymerman, Rachel Kaplan Hoffmann, Panta Rouhani Schaffer, Miriam Keltz Pomeranz
The vulva is an under-studied area of the female genitourinary tract which is prone to maceration, overgrowth of organisms, and atypical presentations of common dermatologic conditions. In current practice, dermatologists must recognize and manage vulvar infections and infestations beyond the more commonly recognized sexually transmitted infections. Herein, this article reviews the literature on a selection of under-recognized viral, bacterial, fungal, and parasitic vulvar infections and infestations.
April 2017: International Journal of Dermatology
https://www.readbyqxmd.com/read/28119892/the-impact-of-inflammatory-and-infectious-diseases-of-vulvar-on-quality-of-life
#13
Kıymet Handan Kelekçi, Selçuk Özyurt, Bülent Özkan, Şemsettin Karaca, Ali Karakuzu, İlgül Bilgin
OBJECTIVES: This study aimed to evaluate the effects of vulvar dermatoses (VD) and vulvar infections (VE) on anxiety, depression scores, general, and dermatological quality of life (QOL) of women. METHODS: We conducted a cross-sectional survey on patients diagnosed with VD and VE. All patients were assessed using a sociodemographic form, Skindex-29 scale, World Health Organization QOL (WHOQOL) BREF scale, Hamilton anxiety rating scale (HAM-A), Hamilton depression rating scale (HAM-D)...
December 2016: Journal of Menopausal Medicine
https://www.readbyqxmd.com/read/27415635/folliculocentric-lichen-sclerosus-et-atrophicus-in-a-10-year-old-girl
#14
Constantin El Habr, Kathleen Mannava, Sara Koch, Rechelle Tull, Belen Goiburu-Chenu, Lindsay Strowd, Omar Sangueza
Lichen sclerosus et atrophicus (LSA) is a chronic inflammatory scarring disease with a predilection for the anogenital area; however, 15%-20% of LSA cases are extragenital. The folliculocentric variant is rarely reported and less well understood. The authors report a rare case of extragenital, folliculocentric LSA in a 10-year-old girl. The patient presented to the dermatology clinic for evaluation of an asymptomatic eruption of the arms and legs, with no vaginal or vulvar involvement. Physical examination revealed the presence of numerous 2-4 mm, mostly perifollicular, hypopigmented, slightly atrophic papules and plaques...
January 2017: American Journal of Dermatopathology
https://www.readbyqxmd.com/read/27206219/risk-factors-for-de-novo-malignancies-in-women-after-kidney-transplantation-a-multicenter-transversal-study
#15
MULTICENTER STUDY
Samir Helmy, Julian Marschalek, Yvonne Bader, Marianne Koch, Alice Schmidt, Marina Kanzler, Georg Gyoeri, Stephan Polterauer, Alexander Reinthaller, Christoph Grimm
OBJECTIVE: Transplantation results in a 5-time elevated risk for a variety of malignancies (Kaposi sarcoma, skin, liver, lung, gastrointestinal cancer). A patient's risk for malignancies could be of particular interest for the follow-up programs of patients and risk adaption after kidney transplantation. The aim of this study was to identify independent risk factors for de novo malignancies in women after renal transplantation. METHODS AND MATERIALS: This is a multicenter transversal study, conducted at the Medical University of Vienna and Hospital Rudolfstiftung, Vienna, Austria...
June 2016: International Journal of Gynecological Cancer
https://www.readbyqxmd.com/read/26692611/physician-administered-clinical-score-of-vulvar-lichen-sclerosus-a-study-of-36-cases
#16
Smriti Naswa, Yogesh S Marfatia
INTRODUCTION: Vulvar lichen sclerosus (VLS) often remains undetected for years due to lack of awareness, as well as private nature of the disease. Advanced disease severely affects the quality of life and is associated with increased risk of vulvar squamous cell carcinoma (SCC). The aim of this study was to assess the usefulness of a physician-administered clinical scoring system for the clinical diagnosis and evaluation of VLS. To the best of our knowledge, this is the first study using the clinical score developed by Günthert et al on the VLS patients...
July 2015: Indian Journal of Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/26677274/genital-perigenital-inflammatory-linear-verrucous-epidermal-nevus-a-case-series
#17
Debabrata Bandyopadhyay, Abanti Saha
BACKGROUND: Inflammatory linear verrucous epidermal nevus (ILVEN) is a distinct variety of keratinocytic epidermal naevus. In contrast to non-inflammatory epidermal naevi, ILVEN are far less common, usually erythematous and intractably pruritic. ILVEN usually appears at birth or early childhood and has a linear distribution following the Blaschko lines. Genital/perigenital involvement is relatively rare. OBJECTIVES: To describe the clinical features of 9 children with ILVEN localized to the genital and perigenital areas...
November 2015: Indian Journal of Dermatology
https://www.readbyqxmd.com/read/26348378/surgical-management-of-vulvovaginal-agglutination-due-to-lichen-planus
#18
Pamela S Fairchild, Hope K Haefner
Lichen planus is a rare dermatological disorder that is often associated with painful and disfiguring vulvovaginal effects. At the University of Michigan Center for Vulvar Diseases, we see many women with vulvovaginal lichen planus each year, with marked scarring and vulvovaginal agglutination that precludes vaginal intercourse and causes difficulty with urination. Through our experience, we developed a protocol for the operative management and postoperative care for severe vulvovaginal agglutination. Our objective is to share this protocol with a wider audience so that providers who see patients with these devastating effects of lichen planus can benefit from our experience to better serve this patient population...
February 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26259393/unilateral-angiokeratoma-of-vulva-a-rare-clinic-entity
#19
Aytekin Tokmak, Demet Kokanali, Nagihan Ozcan Cengaver, Gülçin Yildirim, Ali Irfan Güzel, Nafiye Yilmaz
The aim of this study is to present a very rare dermatologic condition of the vulva. Angiokeratoma is a benign dilation of ectatic thin-walled blood vessels and congested capillaries in the superficial dermal layer of skin. It occurs predominantly in men and extremely rare in women. Angiokeratoma presents as single or multiple papular lesions on the vulva with smooth or verrucous surface. These lesions are easily confused with infectious disease, inflammatory lesions, and epithelial tumors. In this report, we presented a 42 year old unmarried woman who was admitted to our clinic with complaints of two papuler lesions of the right labium majus with vaginal discharge, vulvar pruritis, and vulvar edema...
2015: Journal of Experimental Therapeutics & Oncology
https://www.readbyqxmd.com/read/26193225/perineal-reconstruction-with-biologic-graft-vulvoplasty-for-verrucous-carcinoma-treated-by-repeated-vulvar-excisions-a-case-report
#20
Elvira Brătilă, Cornel Petre Brătilă, Diana Elena Comandaşu, Vasilica Bauşic, Doina Mihaela Pop, Vlad Denis Constantin, Monica Mihaela Cîrstoiu, Ruxandra Stănculescu
Vulvar neoplasia represents 5% of malignancies in female genital tract and 0.6% of all cancers in women. Although it is known to be a rare type of cancer, which occurs especially in elderly women, its incidence is increasing in young females because of its association with the human papillomavirus (HPV). In this paper, we report the case of a 46-year-old woman, gravidity 4, parity 3, with a medical history of multiple vulvar excisions for recurrent ulcerative vulvar lesions during a period of 11 years. The first lesion appeared in 2003, it was excised and the histopathological result showed squamous cell carcinoma with undifferentiated areas and chronic ulcerative inflammation...
2015: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
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