II. Definitions

  1. Vulvar Dermatitis (Vulvar Dermatoses)
    1. Non-neoplastic epithelial disorders of the vulva

V. Causes: Bullous Vulvar Dermatoses

VI. Causes: Systemic Disease and other causes

VII. Management

  1. General approach
    1. Exclude neoplasm
    2. Treat specific causes (including systemic causes)
  2. Low Potency Corticosteroids may be trialed
    1. Hydrocortisone ointment (1% or 2.5%)
  3. Moderate Potency Corticosteroid (e.g. triamcinolone) Indications
    1. Vulvar Lichen Simplex Chronicus
  4. High Potency Corticosteroid (e.g. Clobetasol) indications
    1. Lichen Sclerosis
    2. Lichen Planus
  5. Topical Anesthetics
    1. Lidocaine (Xylocaine) 2-5% ointment
      1. Short-term use only and expect variable efficacy
    2. Avoid benzocaine
      1. Risk of Allergic Contact Dermatitis
  6. Bland Emollients
    1. Milk compresses
    2. Vegetable oil compresses
    3. Plastic ice pack (<20 min/hour)

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