Dermatology Department, Hospital Viamed Santa Angela de la Cruz, Seville, Spain.
Dermatology Department, Hospital Viamed Santa Angela de la Cruz, Seville, Spain.
An Bras Dermatol. 2022 Nov-Dec;97(6):747-756. doi: 10.1016/j.abd.2021.11.006. Epub 2022 Sep 8.
Vulvar diseases are common in the general population and have a negative impact on the quality of life.
To describe our experience as dermatologists in the management of vulvar dermatosis consultations.
A retrospective observational study was conducted with patients who attended monographic vulvar consultations over a 5-year period. Clinical information was obtained from the patient's charts.
148 women were studied. Their mean age was 43.24 years (standard deviation: 15.15 years), with ages ranging from 4 months to 80 years. 53.4% of patients took between 2 and 5 years to seek medical attention for the first time. The most frequent diagnosis was lichen sclerosus (41.9%), irritative eczema of the vulva (14.9%), and lichen simplex chronicus (10.1%). 83.8% reported anogenital itching, 66.2% pain, and 45.9% dyspareunia. The most frequently prescribed treatment was ultra-potent topical corticosteroids (clobetasol propionate; 41.2%). Patients with lichen sclerosus were significantly older than those who presented with any of the other diseases. No differences were found in terms of either the time of disease evolution or in symptom presentation.
Retrospective study. Vulvar diseases with an infectious cause are usually managed in primary care, therefore, were not included. All patients were recruited from a single private hospital which limits the comparisons with the public health system.
Vulvar diseases frequently occur and are associated with high morbidity. It is essential to promote the development of specific vulvar consultations in hospitals. Specialties such as dermatology, gynecology, urology, or physiotherapy must be part of these units.
外阴疾病在普通人群中较为常见，对生活质量有负面影响。
描述皮肤科医生在处理外阴皮肤病咨询方面的经验。
对 5 年内参加专题外阴咨询的患者进行回顾性观察性研究。从患者病历中获取临床信息。
共研究了 148 名女性。她们的平均年龄为 43.24 岁（标准差：15.15 岁），年龄范围为 4 个月至 80 岁。53.4%的患者首次就诊需要 2 至 5 年的时间。最常见的诊断是硬化性苔藓（41.9%）、外阴刺激性湿疹（14.9%）和慢性单纯性外阴苔藓（10.1%）。83.8%的患者报告有肛门生殖器瘙痒，66.2%有疼痛，45.9%有性交困难。最常开的处方是超强效外用皮质类固醇（丙酸氯倍他索；41.2%）。患有硬化性苔藓的患者明显比患有其他任何疾病的患者年龄更大。在疾病演变时间或症状表现方面没有差异。
回顾性研究。具有感染性病因的外阴疾病通常在初级保健机构管理，因此未包括在内。所有患者均来自于一家私立医院，这限制了与公共卫生系统的比较。
外阴疾病经常发生，且发病率较高。在医院中推广专门的外阴咨询非常重要。皮肤科、妇科、泌尿科或理疗科等专业科室必须成为这些单位的一部分。
