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印度北部一家三级护理医院女性患者中的外阴皮肤病(性病性和非性病性)

Vulval dermatoses (venereal and nonvenereal) among female patients presenting to a tertiary care hospital in North India.

作者信息

Kaur Karamjot, Mohi Manjit Kaur, Chopra Dimple, Sarangal Rishu, Singh Saini Jatinder Raj, Chopra Preeyati

机构信息

Department of Skin and VD, GMC, Patiala, Punjab, India.

Department of Obstetrics and Gynaecology, GMC, Patiala, Punjab, India.

出版信息

Indian J Sex Transm Dis AIDS. 2022 Jul-Dec;43(2):141-145. doi: 10.4103/ijstd.ijstd_18_22. Epub 2022 Nov 17.

Abstract

BACKGROUND

The skin and mucosa of the vulva are different from the rest of the human body, as it is derived from all three embryological layers. It is more prone to dermatological diseases, both infectious and noninfectious.

AIMS AND OBJECTIVES

Our study was a prospective descriptive study on female patients attending the skin outpatient department with complaints of vulval dermatoses. Our aim was to determine the prevalence of venereal and nonvenereal dermatoses (infectious and non-infectious) along with age-wise distribution of these in our area.

MATERIALS AND METHODS

All female patients presenting with visible skin lesions on the vulva from January 2019 to December 2019 were included in this study. Various diagnostic tests such as Gram staining, Tzanck smear, KOH mount, herpes simplex virus serology, and skin biopsy were performed wherever necessary.

OBSERVATIONS AND RESULTS

The study included 520 patients in whom 525 lesions were identified. These were grouped under venereal and non-venereal dermatoses. Nonvenereal dermatoses were further grouped under infectious and non-infectious conditions. Maximum patients were in the age group of 21-40 years (50.19%). The most common dermatoses were non-venereal infections, seen in 220 (42.30%) patients followed by non-venereal, non-infectious dermatoses seen in 177 (34.04%) patients whereas venereal dermatoses were seen in 128 (24.61%) patients.

CONCLUSION

Most of the patients were in the reproductive age group, and the prevalence of infectious dermatoses both venereal and non-venereal was much more than that of non-infectious conditions affecting the vulval skin as per our study.

摘要

背景

外阴的皮肤和黏膜与人体其他部位不同,因为它源自所有三个胚胎层。它更容易患皮肤病,包括感染性和非感染性皮肤病。

目的

我们的研究是一项针对因外阴皮肤病前来皮肤科门诊就诊的女性患者的前瞻性描述性研究。我们的目的是确定性病性和非性病性皮肤病(感染性和非感染性)的患病率以及这些疾病在我们地区的年龄分布情况。

材料与方法

纳入2019年1月至2019年12月期间外阴出现可见皮肤病变的所有女性患者。必要时进行各种诊断测试,如革兰氏染色、Tzanck涂片、氢氧化钾涂片、单纯疱疹病毒血清学检查和皮肤活检。

观察结果

该研究纳入了520名患者,共发现525处病变。这些病变分为性病性和非性病性皮肤病。非性病性皮肤病进一步分为感染性和非感染性情况。最大的患者群体年龄在21 - 40岁之间(50.19%)。最常见的皮肤病是非性病性感染,见于220名(占42.30%)患者,其次是非性病性、非感染性皮肤病,见于177名(占34.04%)患者,而性病性皮肤病见于128名(占24.61%)患者。

结论

根据我们的研究,大多数患者处于育龄期,性病性和非性病性感染性皮肤病的患病率远高于影响外阴皮肤的非感染性疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15b2/9891011/95bae006b347/IJSTD-43-141-g001.jpg

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