{
    "abstract": "Vulvar diseases are common in the general population and have a negative impact on the quality of life.\nTo describe our experience as dermatologists in the management of vulvar dermatosis consultations.\nA 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.\n148 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.\nRetrospective 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.\nVulvar 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.",
    "authors": [
        {
            "affiliation": "Dermatology Department, Hospital Viamed Santa Angela de la Cruz, Seville, Spain.",
            "firstname": "Fernando",
            "initials": "F",
            "lastname": "Garc\u00eda-Souto"
        },
        {
            "affiliation": "Dermatology Department, Hospital Viamed Santa Angela de la Cruz, Seville, Spain.",
            "firstname": "Ana Isabel",
            "initials": "AI",
            "lastname": "Lorente-Lavirgen"
        },
        {
            "affiliation": "Dermatology Department, Hospital Viamed Santa Angela de la Cruz, Seville, Spain. Electronic address: franciscomendonsa@gmail.com.",
            "firstname": "Francisco Manuel",
            "initials": "FM",
            "lastname": "Ildefonso Mendon\u00e7a"
        },
        {
            "affiliation": "Gynecology and Obstetrics Department, Hospital Viamed Santa Angela de la Cruz, Seville, Spain.",
            "firstname": "Manuel",
            "initials": "M",
            "lastname": "Garc\u00eda-de-Lomas"
        },
        {
            "affiliation": "Dermatology Department, Hospital Viamed Santa Angela de la Cruz, Seville, Spain.",
            "firstname": "Mariana Viktoria",
            "initials": "MV",
            "lastname": "Hoffner-Zuchelli"
        },
        {
            "affiliation": "Dermatology Department, Hospital Viamed Santa Angela de la Cruz, Seville, Spain.",
            "firstname": "Desiree",
            "initials": "D",
            "lastname": "Rodriguez-Ojeda"
        },
        {
            "affiliation": "Fisinergia Fisioterapia Pelvico-Perineal, Seville, Spain.",
            "firstname": "Elena",
            "initials": "E",
            "lastname": "Pozo"
        },
        {
            "affiliation": "Dermatology Department, Hospital Viamed Santa Angela de la Cruz, Seville, Spain.",
            "firstname": "Jos\u00e9",
            "initials": "J",
            "lastname": "Bernab\u00e9u-Wittel"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2022 Sociedade Brasileira de Dermatologia. Published by Elsevier Espa\u00f1a, S.L.U. All rights reserved.",
    "doi": "10.1016/j.abd.2021.11.006",
    "journal": "Anais brasileiros de dermatologia",
    "keywords": [
        "Genital disease",
        "Pelvic pain",
        "Vulvar diseases",
        "Vulvodynia"
    ],
    "methods": null,
    "publication_date": "2022-09-12",
    "pubmed_id": "36089549\n21244379\n20592559\n23343705\n31712174\n22652575\n20883908\n22176862\n30892698\n22329403\n10565628\n31712170\n27257093\n26944461\n28778646\n31051298\n10592401\n29987650\n29313888\n28164373\n29705985",
    "results": "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.",
    "title": "Vulvar dermatoses: a cross-sectional 5-year study. Experience in a specialized vulvar unit.",
    "xml": "<Element 'PubmedArticle' at 0x788506cf71a0>"
}