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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.Symptom-based section reflects how patients present in real life and provides algorithms/flowcharts to help with diagnosisIncludes second-line treatment options to help physician when standard treatment is unsuccessfulLavishly illustrated with over 500 photos, diagrams, tables and boxes
Gudula KirtschigConsultant Dermatologist, Dept of Dermatology, Vrije Universiteit Medical Centre, Amsterdam, The NetherlandsSusan CooperConsultant Dermatologist, Oxford University Hospitals Trust, Oxford, UK
1 Normal vulva2 Normal histology of vulva and anogenital area3 Vulvovaginal care4 Taking a vulvar history and examination of the vulva5 Scoring and recording of vulval disease6 How to take a vulvar biopsy and what to expect from a histopathological examination7 General treatment considerations8 Pruritus9 Pain10 "Red skin"11 "Broken skin"12 "White skin"13 "Pigmented skin"14 Scarring15 "Swollen vulva"16 Atopic eczema, lichen simplex and seborrheic dermatitis17 Contact dermatitis, fixed drug eruption and immediate hypersensitivity reactions18 Erythema multiforme majus, Stevens-Johnson syndrome, toxic epidermal necrolysis and graft-versus-host disease19 Lichen sclerosus20 Lichen planus21 Plasma cell vulvitis22 Vulvar psoriasis23 Hidradenitis suppurativa24 Granulomatous conditions of the vulva25 Scleroderma, systemic lupus erythematosus and Sjögren syndrome26 Autoimmune bullous diseases27 Inherited bullous diseases28 Vulval ulcers29 Primary bacterial and fungal vulval and vulvovaginal infections30 Viral diseases31 Sexually transmitted diseases32 Cysts and diseases of the glands33 Solid benign tumours34 Benign and malignant pigmented lesions of the vulva35 Malignant and pre-malignant non-pigmented tumours36 Extramammary Paget disease of the vulva37 Vascular disease38 Vulvodynia39 Psychological and sexological aspects40 Vulval cosmetic surgery41 Vulval body art42 Vulval disease in children