Department of Dermatology, Washington University School of Medicine, 5201 Midamerica Plaza, Suite 2300, St Louis, MO 63129, USA.
Obstet Gynecol Clin North Am. 2017 Sep;44(3):379-388. doi: 10.1016/j.ogc.2017.04.003.
Vulvar pruritus and lichen simplex chronicus are common reasons for presentation to women's health practitioners, including gynecologists and dermatologists. Both conditions are multifactorial and are often confounded by other inflammatory, neoplastic, infectious, environmental, neuropathic, hormonal, and behavioral variables. Careful history taking and thorough physical examinations, including wet mount and potentially skin biopsy, are necessary for appropriate diagnosis. Treatment should focus on decreasing inflammation, reducing irritants, and providing symptomatic relief to achieve remission. Comprehensive treatment covering environmental, biological, and behavioral therapy can result in long-term cure for patients with these conditions.
外阴瘙痒和慢性单纯性苔藓是女性健康从业者（包括妇科医生和皮肤科医生）就诊的常见原因。这两种疾病都是多因素的，常常与其他炎症、肿瘤、感染、环境、神经病变、激素和行为因素混淆。仔细的病史采集和彻底的体格检查，包括湿片检查和可能的皮肤活检，对于正确诊断是必要的。治疗应侧重于减轻炎症、减少刺激物，并提供症状缓解以达到缓解。全面的治疗，包括环境、生物和行为治疗，可以为这些患者带来长期的治愈。
