Term
| True/False: Patients with a history of dermatologic diseases are more likely to have skin changes elsewhere on their body |
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Definition
| True, also more common in patients with a family history of dermatologic diseases |
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Term
| What is the most common vulvar dermatosis? |
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Definition
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Term
| What is Irritant Contact Dermatitis (ICD)? |
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Definition
Non-immunologic response, results from exposure to an irritant (soaps, condoms, etc)
Burning, pruritus, pain
Symptoms occur quickly and resolve quickly |
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Term
| What is Allergic Contact Dermatitis (ACD)? |
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Definition
Immunological response, a delayed hypersensitivity reaction after sensitization to an allergen (medications, preservatives, etc)
Symptoms delayed 48-72 hrs after exposure, can last several weeks
Pruritus, erythema, edema, vesicles |
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Term
| Treatment/Management for contact dermatitis |
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Definition
Topical Corticosteroids
Change hygiene/habits (no tight fitting clothes)
Eliminate known/suspected allergens/irritants
Soak in warm water (bath, sitz bath, hand held shower device)
Ice packs
For nighttime itching: doxepin or hydroxyzine |
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Term
| What is Lichen Sclerosus? |
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Definition
Autoimmune disorder
Inflammation, epithelial thinning, distinctive dermal changes, thin skin like wrinkled cigarette paper, lesions macular-> plaques
Symptoms: pruritus, dyspareunia, dysuria, diminished sexual sensation, vulvar discomfort, anorectal sx |
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Term
| Can treatment for lichen sclerosus begin before symptoms occur? |
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Definition
| Yes. But make sure any coexisting vaginitis is treated first. |
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Term
| What is first line treatment for Lichen Sclerosus? |
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Definition
High potency or very high potency corticosteroids.
(Ex. Clobetasol propionate once daily for a month, then every other day for a month, then twice weekly for a month) |
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Term
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Definition
Inflammatory condition (Types: classical, hypertrophic, erosive)
Classical: Pruritic papules, milky striae, Hypertrophic: rough lesions, Erosive: erythematous erosions w/ white borders, glossy/shiny lesions, vaginal epithelium bleeds easily, adhesions, stenosis of vagina
Symptoms: vaginal discharge, vulvar puritus, vulva pain, burning, vaginal soreness, dyspareunia, post-coital bleeding |
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Term
| Treatment for Lichen Planus? |
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Definition
Topical corticosteroids
Classical: can resolve on own or medium-potency corticosteroids
Hypertrophic: super potent topical corticosteroid or intralesional corticosteroid injection
Erosive: super potent topical corticosteroid, intravaginal hydrocortisone or prednisone, vaginal dilators or sugery |
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Term
| What is Lichen Simplex Chronicus? |
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Definition
Caused by itching (if dermatitis is not treated)
Epidermal thickening, lichenified plaques, localized edema, erythema, fissues, excoriation, hyperpigmentation or whiteness of skin |
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Term
| Treatment for Lichen Simplex Chronicus |
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Definition
Super potent topical corticosteroid
screen for secondary infections, 2% lidocaine jelly, 2nd line: tarolims or pimecrolmus; wear gloves at night |
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Term
| What is psoriasis and how is it treated? |
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Definition
Chronic immunemediated, genetic disease
Papules, plaques, covered in silvery white scales
Vulvar psoriasis appears erythematous with very fine scaling
Topical corticosteroids |
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Term
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Definition
Inflammatory reaction in superficial aspect of follicle
Bacterial, fungal, or viral infection
Dome shaped pustules, with small erythematous halos |
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Term
| Treatment for folliculitis |
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Definition
Warm or cold compresses
Mupirocin (Bactroban) Topical ointment 2%
3-5x daily for 5-14
Oral antibiotics for extensive or spreading disease |
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