Fiona M. Lewis, Fabrizio Bogliatto, Marc van Beurden

A Practical Guide to Vulval Disease

Diagnosis and Management

• Gebundenes Buch

Produktbeschreibung

This book is a practical guide to the diagnosis and management of vulval disorders. It offers guidance for all those who are treating patients with vulval disease at trainee and specialist level, helping to improve management for the patient and prevent delays in diagnosis, including referrals to specialists.

It contains key information about diagnosis, investigation and basic management, with a section on signs and symptoms guides the reader to the correct chapter for the treatment of that disease. The experienced authors include updated classification and terminology of vulval disease with an explanation of how this should be useful in clinical practice and guidance as to when the patient should be referred on to a specialist.

As vulval diseases are different to those of the rest of the skin patients with vulval disease present a large unmet need, often with delays in diagnosis due to a lack of training from physicians. This practical guide provides the specialist knowledge required for diagnosis and treatment of these conditions.

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Produktdetails

• Verlag: Wiley & Sons / Wiley-Blackwell
• Artikelnr. des Verlages: 1W119146050
• 1. Auflage
• Seitenzahl: 240
• Erscheinungstermin: 20. März 2017
• Englisch
• Abmessung: 249mm x 193mm x 18mm
• Gewicht: 680g
• ISBN-13: 9781119146056
• ISBN-10: 1119146054
• Artikelnr.: 45637321

Autorenporträt

FIONA LEWIS, St John's Institute of Dermatology, Guy's & St Thomas' Hospital and Wexham Park Hospital (Frimley Health Foundation Trust), UK. FABRIZIO BOGLIATTO, Chivasso Civic Hospital in Turin, Italy. MARC VAN BEURDEN, Netherlands Cancer Institute.

Inhaltsangabe

Acknowledgements xvii

1 The Normal Vulva 1

Normal Vulval Anatomy 1

Normal Vulval and Vaginal Flora 4

Further Reading 4

Normal Anatomical Variants 4

Normal Changes Over the Lifetime 6

Further Reading 7

2 Taking a History and Examination 9

Taking a History 9

Examination of the Vulva 11

Further Reading 13

3 How to Take a Vulval Biopsy and the Importance of Clinico-Pathological Correlation 15

Incisional Biopsy 16

Fixation of the Biopsy 20

Further Reading 21

4 Basic Histology of the Vulva 23

Special Histological Stains 24

Immunohistochemical Stains 26

Other Tests 27

Further Reading 28

5 Investigations in Vulval Disease 29

Investigations for Infection 29

Investigations for Allergy 32

Investigations for Inflammatory Disease 33

Imaging Investigations 34

Useful Web Sites for Patient Information 34

Further Reading 34

6 Topical Treatment in Vulval Disease 35

Introduction 35

General Principles 35

Lotions 35

Gels 36

Ointments 36

Creams 36

Pastes 36

Topical Treatments Used for Vulval Disease 36

Antiseptics 41

Antibacterials 42

Antifungals 42

Barriers 42

Others 42

Practice Points 44

Further Reading 44

Useful Web Sites for Patient Information 44

7 Symptoms in Vulval Disease 45

Pruritis (Itch) 45

Causes of Vulval Pruritis 46

Soreness 46

Pain 47

Dyspareunia 48

Discharge 48

No Symptoms 49

Useful Web Site for Patient Information 49

8 Signs in Vulval Disease 51

Differential Diagnosis Based on Appearance 51

Algorithms 51

Further Reading 56

9 Eczema, Allergy and the Vulva 57

Seborrhoeic Eczema 57

Allergic Contact Eczema / Dermatitis 59

Clinical Features 60

Irritant Eczema / Dermatitis 62

Urticaria 64

Allergic Contact Urticaria 64

References 65

10 Psoriasis 67

Introduction 67

Incidence 67

Clinical Features 68

Basic Management 69

When to Refer 72

Practice Points 73

Further Reading 73

Useful Web Sites for Patient Information 73

11 Lichen Simplex 75

Introduction 75

Epidemiology 75

Incidence 75

Pathophysiology 75

Histological Features 76

Symptoms 76

Clinical Features 76

Basic Management 77

When to Refer 78

Practice Points 78

Further Reading 79

Useful Web Sites for Patient Information 79

12 Lichen Sclerosus 81

Introduction 81

Incidence 81

Pathophysiology 81

Histological Features 82

Symptoms 83

Clinical Features 83

Associated Disease 90

Risk of Malignancy 90

Basic Management 92

Follow Up 92

When to Refer 92

Practice Points 93

Further Reading 93

Useful Web Sites for Patient Information 93

13 Lichen Planus 95

Introduction 95

Epidemiology 95

Incidence 95

Pathophysiology 95

Histological Features 96

Clinical Features of Lichen Planus 96

Vulval Lichen Planus 9