Singh Nidhi, Thappa Devinder Mohan, Jaisankar T J, Habeebullah Syed
Department of Dermatology and Sexually Transmitted Diseases, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
Dermatol Online J. 2008 Jan 15;14(1):1.
Non-venereal dermatoses tend to be confused with venereal diseases, which may be responsible for mental distress and guilt feelings in patients. We conducted the study to find the pattern of non-venereal dermatoses of female external genitalia and to correlate non-venereal dermatoses with various clinical parameters. The study included 120 female patients with non-venereal dermatoses of female external genitalia presenting over a period of 22 months from September 2005 to June 2007. The demographic characteristics and clinical findings were recorded. Cases having venereal diseases were excluded from the study. A total of nineteen non-venereal dermatoses were noted in the study. The most common non-venereal dermatoses were lichen sclerosus (26 cases or 21.7%), vitiligo (19 cases or 15.8%), lichen simplex chronicus (16 cases or 13.3%), and vulval candidiasis (11 or 9.2%). Other dermatoses included lymphedema, invasive squamous cell carcinoma, tinea cruris, psoriasis, furuncle, folliculitis, lichen planus, epidermal inclusion cyst, herpes zoster, irritant contact dermatitis, acrochordon, Bartholin cyst, fibroepithelial stromal polyp, molluscum contagiosum (autoinoculated), and streptococcal vulvitis. This study highlights the importance of diagnosing non-venereal dermatoses and refutes the general misconception that all vulval itching is the result of fungal infection. The two most common causes of vulval itching observed in the study were lichen sclerosus and lichen simplex chronicus.
非性病性皮肤病往往容易与性病相混淆，这可能会给患者带来精神困扰和负罪感。我们开展这项研究旨在找出女性外生殖器非性病性皮肤病的发病模式，并将非性病性皮肤病与各种临床参数进行关联分析。该研究纳入了2005年9月至2007年6月这22个月期间就诊的120例患有女性外生殖器非性病性皮肤病的女性患者。记录了她们的人口统计学特征和临床 findings。患有性病的病例被排除在研究之外。研究中总共记录了19种非性病性皮肤病。最常见的非性病性皮肤病为硬化性苔藓（26例，占21.7%）、白癜风（19例，占15.8%）、慢性单纯性苔藓（16例，占13.3%）和外阴念珠菌病（11例，占9.2%）。其他皮肤病包括淋巴水肿、浸润性鳞状细胞癌、股癣、银屑病、疖、毛囊炎、扁平苔藓、表皮样囊肿、带状疱疹、刺激性接触性皮炎、皮赘、巴氏腺囊肿、纤维上皮性间质息肉、传染性软疣（自体接种）和链球菌性外阴炎。本研究强调了诊断非性病性皮肤病的重要性，并驳斥了所有外阴瘙痒都是真菌感染所致的普遍误解。研究中观察到的外阴瘙痒的两个最常见原因是硬化性苔藓和慢性单纯性苔藓。
