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.

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Preface

As you pick up the Atlas of Vulvovaginal Disease in Darker Skin Types, you wonder about the need for one more book on the same subject. Yes, there are several great publications out there, but most of them showcase diseases in Fitzpatrick Types 1–3. Today, with globalization and the relocation of individuals across the world, there is a need to recognize the disease in patients with darker skin. India, a huge country, boasts of diversity in skin color and cultural habits. With all our collective experiences, there is enough clinical material to serve as a great reference for any healthcare individual interested in managing vulvar disease in darker skin types.

Dermatology is a very visual field, and the more one sees the easier it gets to arrive at a diagnosis. Hence, we have included more than 300 images in Fitzpatrick IV–VI skin types. Flowcharts of a few of the common presentations will make it easier for clinicians to manage their patients. A separate chapter on pediatric vulvar disease showcases various conditions in children. Although dermoscopy has not been standardized for vulvar skin conditions, we have included some images where relevant. Often, it gets tricky answering patients’ queries about their conditions. To assist the caregivers, we have included a section on FAQs (frequently asked questions).

This atlas does not claim to be a comprehensive textbook on vulvar disease. But it is certainly more than an atlas to guide dermatologists, gynecologists, family physicians, and post-graduate students in the diagnosis and management of patients with the vulvar disease.

We wish you happy reading.

Table of contents :
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