Oregon Health & Science University, Portland, Oregon 97239, USA.
Obstet Gynecol Surv. 2012 Jan;67(1):55-63. doi: 10.1097/OGX.0b013e318240cc72.
Vulvar pruritus and pain are common indications for consultation with a gynecologist. Contact dermatitis, lichen sclerosus, lichen planus, and vulvar intraepithelial neoplasia are vulvar dermatoses that are often associated with both pruritus and pain. Because these skin conditions are frequently misdiagnosed by providers and incorrectly self-treated by patients, vulvar biopsy is considered the gold standard for diagnosis. The etiology of these vulvar skin conditions is multifactorial; therefore, patient education, behavior modification, and regular follow-up with an experienced clinician are essential to ensure effective control of patient symptoms and management of the skin condition.
Obstetricians & Gynecologists and Family Physicians.
After completing this CME activity physicians should be better able to evaluate common vulvar skin conditions and identify these conditions as a source of significant morbidity for women, diagnose vulvar dermatoses using vulvar biopsy as the gold standard, create a differential diagnosis of vulvar skin disorders.
目的：为妇产科医生和家庭医生提供教育。
学习目标：完成本次 CME 项目后，医生应能更好地评估常见的外阴皮肤疾病，并认识到这些疾病会给女性带来严重的健康问题，采用外阴活检作为金标准诊断外阴皮肤病，对外阴皮肤疾病做出鉴别诊断。
