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Interview, exam are equally valuable in vulvar dx.(diagnosis)

Publication: Skin & Allergy News

Publication Date: 01-NOV-06

Author: Bates, Betsy
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COPYRIGHT 2006 International Medical News Group

SAN DIEGO -- Patience, persistence, and asking patients the right questions are key to diagnosing vulvar disease, Dr. Erika Klemperer said at the annual meeting of the California Society of Dermatology and Dermatologic Surgery.

Does it itch? Is it the type of itch you want to scratch? Does scratching make it feel better or worse?

The answers to these questions, along with a thorough examination and possibly a biopsy, may bring clarity to what otherwise might be a challenging clinical evaluation.

"The vulva is just skin, but it's unique," explained Dr. Klemperer, a dermatologist in private practice in Santa Barbara, Calif.

Conditions that may be obvious elsewhere on the skin can look different in the vulvar region, either because of moisture; skin fragility; or complications of yeast, bacteria, or contact dermatitis.

That's why, after Dr. Klemperer has taken the time to put anxious...

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