PRURITIS VULVAE
Definition
Pruritis vulvae is marked and persistent vulval itch without apparent primary cutaneous cause. The vulval skin, particularly on the labia, is lichenified and there may be secondary infection, inflammation or local tissue reaction.
Investigation and diagnosis
Primary infective inflammatory and dermatological conditions should be excluded before the diagnosis is made. Differential diagnosis includes HPV infection, vulval intraepithelial neoplasia (VIN) and non-squamous metaplasia.
Management
Avoid vigorous washing with soap. Periodic bathing in saline and the application of bland creams may alleviate symptoms. Hydrocortisone 1% cream can be used for severe episodes but prolonged application of steroids may lead to atrophy.
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