Vulval diseases are managed by dermatologists and by ObGyns and while expert
referral centres do exist, the majority of patients are treated by non-specialists.
These conditions are relatively common (approximately 15% of a gynaecologist’s
caseload) and can be difficult to diagnose.
Gynecologic Dermatology is a practical, highly illustrated guide written with the needs of the general dermatologist or gynaecologist in mind. The book begins with chapters on normal anatomy; history taking and examination of the vulva; biopsy taking and general management options. Next, symptom-based chapters describe presenting problems such as pruritus, broken skin and scarring, using flowcharts to help the physician work through to a diagnosis. Finally, chapters devoted to key conditions (lichen sclerosus, lichen planus, etc) describe the pathogenesis, clinical presentation, differential diagnosis and management of the disease in question.
Abundantly illustrated and written in a practical, clinically oriented style, Gynecologic Dermatology is an indispensable reference for non-specialists that bridges the gap between dermatology and gynaecology.
• Symptom-based section reflects how patients present in real life and provides algorithms/flowcharts to help with diagnosis
• Includes second-line treatment options to help physician when standard treatment is unsuccessful
• Lavishly illustrated with over 500 photos, diagrams, tables and boxes
1 Normal vulva 2 Normal histology of vulva and anogenital area 3 Vulvovaginal care 4 Taking a vulvar history and examination of the vulva 5 Scoring and recording of vulval disease 6 How to take a vulvar biopsy and what to expect from a histopathological examination 7 General treatment considerations 8 Pruritus 9 Pain 10 "Red skin" 11 "Broken skin" 12 "White skin" 13 "Pigmented skin" 14 Scarring 15 "Swollen vulva" 16 Atopic eczema, lichen simplex and seborrheic dermatitis 17 Contact dermatitis, fixed drug eruption and immediate hypersensitivity reactions 18 Erythema multiforme majus, Stevens-Johnson syndrome, toxic epidermal necrolysis and graftversus-host disease 19 Lichen sclerosus 20 Lichen planus 21 Plasma cell vulvitis 22 Vulvar psoriasis 23 Hidradenitis suppurativa 24 Granulomatous conditions of the vulva 25 Scleroderma, systemic lupus erythematosus and Sjögren syndrome 26 Autoimmune bullous diseases 27 Inherited bullous diseases 28 Vulval ulcers 29 Primary bacterial and fungal vulval and vulvovaginal infections 30 Viral diseases 31 Sexually transmitted diseases 32 Cysts and diseases of the glands 33 Solid benign tumours 34 Benign and malignant pigmented lesions of the vulva 35 Malignant and pre-malignant non-pigmented tumours 36 Extramammary Paget disease of the vulva 37 Vascular disease 38 Vulvodynia 39 Psychological and sexological aspects 40 Vulval cosmetic surgery 41 Vulval body art 42 Vulval disease in children
Consultant Dermatologist, Dept of Dermatology, Vrije Universiteit Medical Centre, Amsterdam, The Netherlands
Consultant Dermatologist, Oxford University Hospitals Trust, Oxford, UK