Obstet Gynecol. 2020 Jul;136(1):e1-e14. doi: 10.1097/AOG.0000000000003944.
Vulvar skin disorders include a variety of inflammatory conditions of the vulva that also may affect the extragenital area. Pruritus and pain are two of the most common presenting symptoms in vulvar clinics (). Vulvovaginal symptoms often are chronic and can adversely affect sexual function and sense of well-being. The purpose of this Practice Bulletin is to provide updated diagnostic and management recommendations for the most common vulvar skin conditions associated with inflammation: contact dermatitis, lichen simplex chronicus, lichen sclerosus, and lichen planus. Other vulvovaginal disorders such as vaginitis, vulvar low-grade squamous intraepithelial lesions and vulvar high-grade squamous intraepithelial lesions (previously termed vulvar intraepithelial neoplasia), genitourinary syndrome of menopause (vulvovaginal atrophy), and vulvar pain (vulvodynia) are addressed in other documents from the American College of Obstetricians and Gynecologists ().
外阴皮肤疾病包括外阴的各种炎症性疾病，也可能影响外阴以外的部位。瘙痒和疼痛是外阴疾病门诊中最常见的两个主要症状（）。外阴阴道症状通常为慢性，会对性功能和幸福感产生不利影响。本实践公告的目的是为与炎症相关的最常见外阴皮肤疾病（接触性皮炎、慢性单纯性苔藓、硬化性苔藓和扁平苔藓）提供更新的诊断和治疗建议。其他外阴阴道疾病，如阴道炎、外阴低度鳞状上皮内病变和外阴高度鳞状上皮内病变（以前称为外阴上皮内瘤变）、女性生殖泌尿综合征（外阴阴道萎缩）和外阴疼痛（外阴痛），在妇产科医师学院的其他文件中进行了介绍（）。
