Atlas of Vulvovaginal Disease in Darker Skin Types

Description

There is a significant increase in cross-migration of women from various ethnicities, cultures, and with varying skin color. With publications focused mainly on Fitz Skin types 1–4, accurate vulvar disease diagnosis in darker skin types may be compromised, resulting in suboptimal therapeutic outcomes. Diseases look quite different as the color disguises much of the erythema, which is prominently seen in the Caucasian population. This book is focused on female genital dermatoses and fills in those gaps for healthcare workers looking to accurately diagnose and manage such patients. Key features: Provides inclusive and consolidated contents on disorders of female genital skin and mucosa.Features more than 300 high-quality illustrations and impressive treatment algorithms, making it a ready reckoner for dermatologists, gynecologists, and general physicians.Facilitates diagnosis and further management of vulvar disease in the darker skin types, thus optimizing patient care.Features collective contributions from experts across the country.Simplifies the patient consult by providing ready answers to frequently asked questions. Cover Half Title Title Page Copyright Page Dedication CONTENTS Preface Acknowledgment Contributors About the Editor Introduction: Diversity: Need for This Atlas 1. OVERVIEW Female genital anatomy Normal vulvovaginal flora Vulvar hygiene Rational use of topical medication in vulvar disease Bedside diagnostic procedures Vulvar biopsy: Tips and tricks 2. DISORDERS OF PIGMENTATION Introduction Hyperpigmentary disorders Hypopigmentory disorders 3. VULVAR INFECTIONS Herpes genitalis Herpes zoster Molluscum contagiosum Genital warts Tinea cruris Vulvovaginal candidiasis Pityriasis versicolor Folliculitis and furunculoses Cellulitis Streptococcal vulvovaginitis Erythrasma Vulvar tuberculosis Scabies Pediculosis pubis Pinworm infestation 4. SEXUALLY TRANSMITTED INFECTIONS Syphilis Chancroid Lymphogranuloma venereum Granuloma inguinale Gonorrhea Chlamydia Sexually transmitted infections in HIV 5. VULVOVAGINAL DISCHARGES Trichomonas vaginalis Bacterial vaginosis Cytolytic vaginosis Foreign body 6. INFLAMMATORY DISORDERS OF THE VULVA Intertrigo Seborrheic dermatitis Eczemas/dermatitis: Atopic/contact (Irritant/Allergic) Lichen simplex/lichen simplex chronicus Psoriasis Vulvar lichen planus Lichen sclerosus Plasma cell vulvitis 7. PRE-MALIGNANT VULVAR DERMATOSES Vulvar intraepithelial neoplasia Bowen’s disease Extramammary Paget disease (EMPD) 8. MALIGNANT DERMATOSES Squamous cell carcinoma Verrucous carcinoma Basal cell carcinoma Malignant melanoma 9. VULVAR MANIFESTATIONS OF SYSTEMIC DISEASES Langerhans cell histiocytosis Metastatic Crohn’s disease 10. VULVAR ULCERS Introduction Ulcus acutum Chronic aphthosis Behçet’s disease Amoebic ulcers 11. DRUG ERUPTIONS Erythema multiforme/Stevens–Johnson syndrome/toxic epidermal necrolysis Fixed drug eruption 12. CYSTS AND NON-NEOPLASTIC SWELLINGS Introduction Epidermoid cyst Bartholin’s cyst Periurethral cyst Vulvar lipoma Pyogenic granuloma Milia Hidradenoma papilliferum 13. DISORDERS OF BLOOD VESSELS AND LYMPHATICS Hemangioma Angiokeratoma Varicocele Lymphangioma circumscriptum 14. DISORDERS OF VULVAR SKIN APPENDAGEAL TUMORS Steatocystoma multiplex Vulvar syringoma Fox-Fordyce disease Hidradenitis suppurativa 15. IMMUNOBULLOUS DERMATOSES Pemphigus vulgaris Bullous pemphigoid Cicatricial pemphigoid Linear IgA bullous dermatosis (LABD) Hailey-Hailey disease Dermatitis herpetiformis 16. PEDIATRIC VULVAR DISEASE Introduction Congenital vulvar abnormalities Vulvar infections Inflammatory dermatoses Nevoid/segmental dermatoses Nutritional dermatosis 17. MENOPAUSE AND VULVOVAGINAL DISEASE Genitourinary syndrome of menopause Incontinence-associated dermatitis 18. VULVAR INJURIES INCLUDING SEXUAL ABUSE Introduction Non-sexual vulvar injuries Sexual injuries Examination in a case of genital injury Management Pearls 19. VULVODYNIA Introduction Etiology Pathophysiology Presenting complaints Clinical examination Laboratory examination Differential diagnosis Management Pearls 20. FREQUENTLY ASKED QUESTIONS BY PATIENTS ON COMMON VULVAR CONDITIONS Lichen sclerosus Lichen planus Eczema (contact dermatitis/lichen simplex chronicus) Herpes genitalis Genital warts (human papillomavirus infections) 21. FLOWCHARTS Index