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Vulvar Skin Lesions: Do They Itch or Burn? (Clues to Treatment Success).
VAIL, COLO. -- Asking whether a vulvar skin lesion itches or burns provides an early indication of how easy treatment is likely to be, Dr. Barbara R. Reed said at a conference on obstetrics and gynecology sponsored by the University of Colorado.
An itchy lesion that feels really good to scratch is probably going to respond easily to treatment.
Patients who report this sort of symptom typically have a skin disorder
featuring thickened skin, which releases a chemical that causes itching. This thickened skin stands up well to the rigors of treatment, explained Dr. Reed, a dermatologist at the university.
An example would be lichen simplex chronicus. Upon physical examination, this disorder is marked by lichenification, perhaps fissuring, and thickened skin. "Biopsy the involved skin to get the diagnosis. You are home free when you diagnose lichen simplex chronicus, because it's easy to treat," she said.
Treatment consists of using a potent topical steroid such as clobetasol for a couple of weeks, tapering down over the course of several more weeks to progressively lower-potency steroids.
"If they're really itchy at night, start with 10 mg of hydroxyzine. I don't care what the size of the person is--people really differ in their response to oral antihistamines. If you start with 25 mg and they can't get up the next morning, they're never going to take another pill with that name on it," Dr. Reed said.
- Avoid empiric treatment for vulvar skin disorders.(Women's Health)
- Magazine article from: Family Practice News Walsh, Nancy December 1, 2008 700+ words
LAKE BUENA VISTA, FLA. -- Empiric treatment with corticosteroids should be avoided in patients who present with vulvar symptoms such as burning, itching, pain, and dyspareunia, according to Dr. Andrew T. Goldstein. These patients should have a careful examination of the vulva using a colposcope,
- Avoid empiric therapy for vulvar skin disorders.(DERMATOLOGIC THERAPY)
- Magazine article from: Skin & Allergy News Walsh, Nancy February 1, 2009 700+ words
LAKE BUENA VISTA, FLA. -- Empiric treatment with corticosteroids should be avoided in patients who present with vulvar symptoms such as burning, itching, pain, and dyspareunia, according to Dr. Andrew T. Goldstein. These patients should have a careful examination of the vulva using a colposcope,
- Case #2 firm, thickened skin in a man suffering from renal failure.(nephrogenic...
- Magazine article from: Clinical Advisor George, Saira J. Hsu, Sylvia June 1, 2006 700+ words
A 52-year-old dialysis patient was seen in consultation for progressive induration of his extremities, which had rendered him wheelchair-bound. Approximately two months earlier, he had developed on his upper and lower legs red, painful, indurated lesions that had hardened into firm, ill-defined
- Case number 2 firm, thickened skin in a man suffering from renal...
- Magazine article from: Cortlandt Forum George, Saira J. Hsu, Sylvia February 1, 2006 700+ words
A 52-year-old dialysis patient was seen in consultation for progressive induration of his extremities, which had rendered him wheelchair-bound. Approximately two months earlier, he had developed on his upper and lower legs red, painful, indurated lesions that had hardened into firm, ill-defined
- Laser Doppler perfusion imaging can map vulva microcirculation.
- Magazine article from: Women's Health Weekly February 12, 2004 700+ words
...Doppler perfusion imaging (LDPI) can map vulvar skin blood flow. "The location of the vulva...Topographic perfusion mapping of the whole vulvar skin using LDF is also time consuming and...application of the novel LDPI to map vulvar skin blood flow and give example in two cases...
- red alert ob/gyn.(Brief Article)
- Magazine article from: Redbook February 1, 2000 700+ words
...particularly lethal form of skin cancer." * Any thinning of skin Vulvar skin can become thinner and more wrinkled, as it does in the...internal abscess, Bartholin's gland cyst, or blocked gland, vulvar skin may balloon out and stretch smooth. EMBARRASSING QUESTION...
- The relationship among objectively assessed vulvar erythema, skin sensitivity,...
- Magazine article from: Journal of Applied Research Farage, Miranda Bowtell, Philip Katsarou, Alexandra December 1, 2006 700+ words
...irritants. (12-14) Britz and Maibach (15) found that vulvar skin was significantly more reactive than forearm skin to benzalkonium...blood, and menses when compared with the upper arm. (17) Vulvar skin reactions to 2 menstrual pads were previously evaluated in...
- Data on erythema discussed by M.A. Farage and colleagues.
- Magazine article from: Women's Health Weekly December 4, 2008 700+ words
...To assess the effects of feminine hygiene wet wipes on vulvar skin. An examiner-blind, randomized, prospective clinical...weeks of using wet wipes caused negligible clinical effects on vulvar skin irritation and appeared to contribute to skin moisture in...