Gynecologic Dermatology: Symptoms Signs and Clinical Management

Vulval diseases are managed by dermatologists and by ObGyns and while expert referral centres do exist, the majority of
patients are treated by non-specialists. These conditions are relatively common (approximately 15% of a gynaecologist?
s caseload) and can be difficult to diagnose.

Gynecologic Dermatology is a practical, highly illustrated guide written with the needs of the general dermatologist or
gynaecologist in mind. The book begins with chapters on normal anatomy; history taking and examination of the vulva;
biopsy taking and general management options. Next, symptom-based chapters describe presenting problems such as
pruritus, broken skin and scarring, using flowcharts to help the physician work through to a diagnosis. Finally,
chapters devoted to key conditions (lichen sclerosus, lichen planus, etc) describe the pathogenesis, clinical
presentation, differential diagnosis and management of the disease in question.

Abundantly illustrated and written in a practical, clinically oriented style, Gynecologic Dermatology is an
indispensable reference for non-specialists that bridges the gap between dermatology and gynaecology.
뷨ymptom-based section reflects how patients present in real life and provides algorithms/flowcharts to help with
diagnosis
뷞ncludes second-line treatment options to help physician when standard treatment is unsuccessful
뷡avishly illustrated with over 500 photos, diagrams, tables and boxes


Author information

Gudula Kirtschig
Consultant Dermatologist, Dept of Dermatology, Vrije Universiteit Medical Centre, Amsterdam, The Netherlands

Susan Cooper
Consultant Dermatologist, Oxford University Hospitals Trust, Oxford, UK


Table of Contents

1 Normal vulva

2 Normal histology of vulva and anogenital area

3 Vulvovaginal care

4 Taking a vulvar history and examination of the vulva

5 Scoring and recording of vulval disease

6 How to take a vulvar biopsy and what to expect from a histopathological examination

7 General treatment considerations

8 Pruritus

9 Pain

10 "Red skin"

11 "Broken skin"

12 "White skin"

13 "Pigmented skin"

14 Scarring

15 "Swollen vulva"

16 Atopic eczema, lichen simplex and seborrheic dermatitis

17 Contact dermatitis, fixed drug eruption and immediate hypersensitivity reactions

18 Erythema multiforme majus, Stevens-Johnson syndrome, toxic epidermal necrolysis and graft-versus-host disease

19 Lichen sclerosus

20 Lichen planus

21 Plasma cell vulvitis

22 Vulvar psoriasis

23 Hidradenitis suppurativa

24 Granulomatous conditions of the vulva

25 Scleroderma, systemic lupus erythematosus and Sjögren syndrome

26 Autoimmune bullous diseases

27 Inherited bullous diseases

28 Vulval ulcers

29 Primary bacterial and fungal vulval and vulvovaginal infections

30 Viral diseases

31 Sexually transmitted diseases

32 Cysts and diseases of the glands

33 Solid benign tumours

34 Benign and malignant pigmented lesions of the vulva

35 Malignant and pre-malignant non-pigmented tumours

36 Extramammary Paget disease of the vulva

37 Vascular disease

38 Vulvodynia

39 Psychological and sexological aspects

40 Vulval cosmetic surgery

41 Vulval body art

42 Vulval disease in children