Savas Jessica A, Pichardo Rita O
Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Department of Dermatology, Wake Forest University School of Medicine, 4618 Country Club Road, Winston-Salem, NC 27104, USA.
Dermatol Clin. 2018 Jul;36(3):225-243. doi: 10.1016/j.det.2018.02.006. Epub 2018 Apr 26.
Vulvar pruritus is a common complaint among young girls and women presenting to primary care physicians, gynecologists, and dermatologists. Female genital itch is especially disruptive because of its interference with sexual function and intimacy. Causes of vulvar itch are vast and may be inflammatory, environmental, neoplastic, or infectious, often with several causes coexisting simultaneously. Diagnosis may be difficult because of the unique anatomy and inherent properties of genital and perianal skin. Treatment is aimed at eliminating outside irritants, restoring epidermal barrier function, and suppressing inflammation.
外阴瘙痒是年轻女孩和女性向初级保健医生、妇科医生和皮肤科医生就诊时常见的主诉。女性生殖器瘙痒因其干扰性功能和亲密关系而特别具有破坏性。外阴瘙痒的原因多种多样,可能是炎症性、环境性、肿瘤性或感染性的,通常几种原因同时并存。由于生殖器和肛周皮肤独特的解剖结构和固有特性,诊断可能会很困难。治疗旨在消除外部刺激物、恢复表皮屏障功能并抑制炎症。