Ridley's The Vulva

Description

The leading guide to vulval diseases The newly updated Fourth Edition of Ridley’s The Vulva delivers a practical guide to diagnosing and treating common and uncommon conditions affecting the vulva. The book bridges across the different specialties involved in the study of vulval diseases, offering full colour pictures, a companion website, and a digital companion text. This newest edition provides the most up-to-date guidance on the diagnosis and management of vulval diseases, with extensively revised chapters and brand-new material on paediatric vulval disease, female genital mutilation, and psychological interventions. Finally, a variety of new clinical and histological images are included. The book also provides: A thorough introduction to the basics of vulval disease, including vulval embryology and anatomy, normal vulval microbiology and physiology, and the principles of medical treatment Comprehensive summaries of vulval infections, including herpes simplex, HPV, candidiasis, and ectoparasite infections Practical discussions of all vulval dermatoses, including genetic conditions, and signs of associated systemic disease In-depth information on vulvodynia Discussion of benign, pre-malignant and malignant lesions Perfect for dermatology, gynecology, pathology, paediatrics, genito-urinary and urology consultants and trainees, Ridley’s The Vulva will also earn a place in the libraries of general practitioners and specialist nurses. Cover Title Page Copyright Page Contents List of Contributors Preface Acknowledgements Section 1 The Basics of Vulval Disease Chapter 1 Vulval Embryology and Developmental Abnormalities Vulval embryology Disorders of sexual development Structural developmental defects External genitalia Vulval and urinary system abnormalities Vulval and intestinal abnormalities Patient Support Groups References Chapter 2 The Normal Vulva Normal vulval anatomy Associated structures Blood supply of the vulva Lymphatic drainage of the vulva Nerve supply of the vulva Normal microscopic anatomy and histological features References Chapter 3 Vulval Physiology and Changes Through Life Barrier function Immune responsiveness Changes through life Resources Patient support groups References Chapter 4 Normal Microbiology of the Vulva The vulval microbiome The vaginal microbiome References Chapter 5 The Vulval Clinic, History, and Examination The vulval clinic The consultation Helpful websites for patient information Dermatoses Sexually transmitted infections References Chapter 6 Symptoms and Signs in Vulval Disease Symptoms in vulval disease Signs in vulval disease References Chapter 7 Investigations in Vulval Disease Biopsy Cytology Microbiological investigation Wood’s lamp examination Patch testing Resources Prick testing Blood tests Imaging Dermoscopy Vulvoscopy References Chapter 8 Topical and Non-Surgical Treatments Topical treatments General vulval hygiene Types of preparation Non-surgical treatments Resources References Section 2 Infection and the Vulva Chapter 9 Bacterial Vaginosis Pathophysiology Clinical features Diagnosis Differential diagnosis Complications Treatment Prognosis and follow-up Resources References Chapter 10 Vulvovaginal Candidiasis Epidemiology Pathophysiology Clinical features Diagnosis Differential diagnosis Complications Associated disease Treatment Prognosis and follow-up Resources References Chapter 11 Syphilis Epidemiology Pathophysiology Histological features Clinical features Differential diagnosis Diagnosis Complications Treatment Prognosis and follow-up Resources References Chapter 12 Gonorrhoea Epidemiology Clinical features Diagnosis Differential diagnosis Complications Treatment Prognosis and follow-up Resources References Chapter 13 Chlamydial Infection Genital chlamydia Resources Lymphogranuloma venereum Resources References Chapter 14 Trichomoniasis Epidemiology Clinical features Diagnosis Complications Treatment Prognosis and follow-up Resources Guidelines References Chapter 15 Genital Herpes Epidemiology Pathophysiology Clinical features Diagnosis Complications Treatment Resources References Chapter 16 Human Papillomavirus Infections Epidemiology Pathophysiology Clinical features Diagnosis Treatment Human papilloma virus vaccines Prognosis and follow-up References Chapter 17 Other Sexually Transmitted Infections Mycoplasma genitalium Resources Chancroid Donovanosis Molluscum contagiosum Scabies Pubic lice References Chapter 18 Tropical Infections Introduction Infection with nematodes, tapeworms, and flukes Echinococcosis (Hydatid disease) Onchocerciasis Infection with protozoa Infection with fungi Mycobacterial infections Infection with viruses Other infections References Chapter 19 Non-Sexually Transmitted Infections Introduction Infection with nematodes Infection with fungi Infection with bacteria Infection with viruses Resources Other infections Acute genital ulcers (Lipschutz ulcers) References Chapter 20 HIV Infection and Vulval Disease HIV and other infections HIV and human papillomavirus (HPV)-related disease Immune reconstitution inflammatory syndrome (IRIS) References Section 3 Inflammatory Dermatoses Chapter 21 Vulval Psoriasis Epidemiology Genetics Pathophysiology Histological features Clinical features Differential diagnosis Complications Associated disease Treatment Prognosis and follow-up Resources References Chapter 22 Eczema and Allergic Reactions Endogenous eczema Resources Exogenous eczema Resources References Chapter 23 Lichen Sclerosus Historical aspects Epidemiology Genetics Pathophysiology Histological features Clinical features Impact on quality of life Grading systems Extra-genital lesions Dermoscopy Differential diagnosis Complications Associated disease Treatment Management in special situation Prognosis and follow-up Resources References Chapter 24 Lichen Planus Epidemiology Genetics Pathophysiology Histological features Clinical features Investigations Differential diagnosis Complications Associated disease Treatment Prognosis and follow-up Resources References Chapter 25 Hidradenitis Suppurativa Epidemiology Genetics Pathophysiology Histological features Clinical features Staging systems Differential diagnosis Associated disease Complications Current therapeutic options for HS Surgical management Prognosis Resources – Support groups and patient information References Chapter 26 Immunobullous Disease Diagnosis Differential diagnosis of the immunobullous disorders Principles of treatment References Chapter 27 Other Inflammatory Dermatoses Nodular prurigo Intertrigo Autoimmune progesterone dermatitis Malacoplakia Reiter’s syndrome (reactive arthritis) Vulval aphthous ulcers Behcet’s syndrome Resources Magic syndrome Febrile ulcero-necrotic Mucha-Habermann’s disease (Pityriasis lichenoides et varioliformis acuta fulminans) Angiolymphoid hyperplasia with eosinophilia Amyloidosis Genital papular acantholytic dyskeratosis Acquired dyskeratotic leukoplakia Vasculitis Desquamative inflammatory vaginitis Plasma cell vulvitis (Zoon’s vulvitis) Vulvovaginal adenosis References Section 4 Other Dermatological Conditions Chapter 28 Genetic Conditions Epidermolysis bullosa (EB) Darier’s disease (keratosis follicularis) Hailey-Hailey disease (benign familial chronic pemphigus) Resources Goltz syndrome (focal dermal hypoplasia) Ehlers–Danlos syndrome Resources Pseudoxanthoma elasticum Congenital familial lipodystrophy Neurofibromatosis Ligneous disease Anderson-Fabry disease White sponge naevus Cowden’s disease Netherton’s syndrome (ichthyosis linearis circumflexa) Incontinentia pigmenti References Chapter 29 Disorders of Pigmentation Hyperpigmentation Resources References Chapter 30 Disorders of Skin Appendages and Hair Disorders of sebaceous glands Disorders of sweat glands Disorders of hair References Chapter 31 Drug Reactions and the Vulva Fixed drug eruption Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN syndrome) Acute generalised exanthematous pustulosis (AGEP) Resources and patient information References Chapter 32 Conditions Associated with Systemic Disease Vulval involvement in connective tissue disease Resources Vulval disorders associated with metabolic disturbances Vulval disorders associated with inflammatory bowel disease Resources Vulval disorders associated with neutrophilic disorders Vulval disorders associated with granulomatous disease Vulval disorders associated with haematological disorders References Chapter 33 Lymphatic Abnormalities and the Vulva Epidemiology Pathophysiology Histological features Clinical features Differential diagnosis Complications Treatment Prognosis and follow-up Resources References Chapter 34 Vascular Abnormalities and the Vulva Vascular malformations Vulval varicose veins References Section 5 Vulvodynia Chapter 35 Vulvodynia – History, Classification, and Terminology History Classification References Chapter 36 Vulvodynia – Pathophysiology and Clinical Features The physiology of acute and persistent pain Epidemiology of vulvodynia Pain mechanisms in vulvodynia Aetiology of vulvodynia Clinical features Examination and differential diagnosis Resources References Chapter 37 Vulvodynia – Management Provoked vulvodynia (PVD) Generalised unprovoked vulvodynia References Section 6 Benign Tumours of the Vulva Chapter 38 Benign Vulval Tumours Benign cysts Benign tumours of the epithelium Benign tumours of the anogenital mammary-type glands Benign lesions of the sweat glands Benign tumours of the hair follicle and pilosebaceous duct Benign tumours of smooth muscle Benign tumours of striated muscle Benign lesions of connective tissue Myofibroblastic lesions Benign lesions of the lymphatic system Benign lesions of perivascular cells Benign vascular lesions Benign neural lesions Miscellaneous benign proliferations and neoplasms Benign lesions of the Bartholin’s gland Vulval hamartomas References Chapter 39 Benign Vulval Naevi Benign melanocytic naevi Atypical genital naevi (AGN) Blue naevi Bulky naevocytoma of the perineum Inflammatory linear verrucous epidermal naevus References Section 7 Intraepithelial Lesions Chapter 40 High-Grade Squamous Intraepithelial Lesions Terminology Epidemiology Molecular genetics Pathophysiology Histological features Risk factors Clinical features Investigations Differential diagnosis Complications Associated disease Treatment Prognosis Follow-up Resources References Chapter 41 Differentiated Vulval Epithelial Neoplasia Epidemiology Pathophysiology Histological features Other immunohistochemical stains Clinical features Differential diagnosis Complications Associated disease Treatment Prognosis Follow-up References Chapter 42 Vulval Paget’s Disease Epidemiology Pathophysiology Classification Histological features Clinical features Differential diagnosis Complications Associated disease Treatment Prognosis Follow-up Resources References Section 8 Vulval Cancer Chapter 43 Vulval Squamous Cell Carcinoma Epidemiology Pathophysiology Clinical features Histology Variants of SCC Diagnosis Treatment of primary disease Sentinel lymph node biopsy Plastic surgical reconstruction Treatment of recurrent disease Complications Follow-up Prognosis Prevention Resources References Chapter 44 Malignant Melanoma of the Vulva Epidemiology Genetics Pathophysiology Histological features Clinical features Investigations Differential diagnosis Staging Treatment Outcome predictors Prognosis Follow-up Resources References Chapter 45 Other Malignant Vulval Tumours Tumours of epithelium Tumours of anogenital mammary glands Tumours of smooth muscle Tumours of striated muscle Tumours of fibroblastic tissue Malignant tumours of the adipose cells Tumours of vascular tissue Epithelioid haemangioendothelioma Neural tumours Mesenchymal tumours of uncertain origin Tumours of Bartholin’s glands Miscellaneous malignant tumours Germ cell neoplasms Lymphoma and leukaemia References Section 9 Surgical Procedures and Management of Other Conditions Chapter 46 Female Genital Mutilation Types of Female Genital Mutilation/Cutting (FGM/C) Human rights and FGM/C Impact of FGM/C Sexuality and FGM/C The motivation for and realities of clitoral reconstruction Benefits of the surgery Clinical examination Contraindications for surgery Surgical technique of clitoral reconstruction Post-operative complications Post-operative care Conclusion References Chapter 47 Transgender Surgery and the Neovulva Microbiology of the neovagina Cytology of the neovagina Problems in the neovagina Resources References Section 10 Psychological Aspects of Vulval Disease Chapter 48 Psychological Aspects of Vulval Disorders The hypothalamic-pituitary-adrenal (HPA) axis Psychological symptoms and the vulva Psychiatric presentations Psychological aspects of specific conditions or events Sexual dysfunction Psychological assessment Psychological and psychiatric interventions Resources References Section 11 Vulval Disease in Children Chapter 49 Inflammatory Dermatoses of the Vulva in Children Napkin (diaper) eruptions Resources Resources Immunobullous disease Dermatoses associated with systemic disease Drug eruptions Vulval pain in children References Chapter 50 Vulval Infection in Children Investigation of infection in children Common vulval infections in children Foreign bodies Bacterial infections Resources Viral infections Other infections Other infections References Chapter 51 Anatomical Abnormalities in Children Labial adhesions (labial agglutination) Infantile pyramidal perineal protrusion Clitoromegaly in children Childhood asymmetry labium majus enlargement (CALME) Urethral prolapse Abnormalities of the hymen Other developmental abnormalities References Chapter 52 Vulval Trauma in Children Non-thermal vulval trauma Thermal damage Chemical damage Hair tourniquet syndrome Bites Child sexual abuse References Chapter 53 Vulval Lesions in Children Clitoral cysts Vulval naevi Infantile haemangiomas Vulval tumours Other lesions References Section 12 Other Topics Chapter 54 Vulval Trauma Obstetric injury Trauma with consensual coitus Accidental injury Thermal injury Chemical injury Radiation injury Genital self-mutilation The vulva and sport Cyclist’s vulva Other sporting injuries References Chapter 55 Cosmetic Procedures and Complications Procedures on vulval structures Perianal bleaching Pubic hair Piercing Tattoos Resources References Glossary of Terms Index EULA