By Michèle Leibowitch, Richard Staughton, Sallie Neill, Simon Barton, Roger Marwood
This very hot atlas has been revised and up-to-date, with 60 new color illustrations highlighting key scientific issues
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Additional resources for An Atlas of Vulval Diseases: A Combined Dermatological, Gynaecological and Venereological Approach
Close inspection shows the characteristic uniform, symmetrical appearance and well-defined edge. Any part of the perineum can be affected, but never the vaginal mucosa. Support for the diagnosis should be sought in the elbows, knees, sacrum and scalp. The nails 45 INFLAMMATORY DISEASES Management 1 2 3 4 Full explanation and reassurance about the non-infectious nature of psoriasis is essential. The patient should be educated that scratching exacerbates and perpetuates psoriatic plaques. g. 10% coal tar solution in emulsifying ointment applied before bathing).
Ii. Flexures—imidazole creams, sometimes in combination with topical corticosteroids: for example, 1 % clotrimazole with 1% hydrocortisone (Canesten HC) or 2% miconazole nitrate with 1 % hydrocortisone (Daktacort cream/Econacort ointment). b. g. g. g. 200 mg daily for a week) (nystatin, griseofulvin and terbinafine are not systemically active against P. ovale). 4 Most patients find a soap substitute helpful and should be advised to avoid irritants such as bubble-baths, shampoo in the bath and heavily fragranced soaps.
40 Irritant eczema. Caustic burn of the vulva caused by quaternary ammonium disinfectant (available as powders and solutions). 41 Histology of irritant eczema. 40, shows vacuolation of the epidermal cells with overlying parakeratosis and no exocytosis (H & E, X83). 42 AN ATLAS OF VULVAL DISEASE Lichen simplex chronicus Management Lichen simplex chronicus or neurodermatitis, is a very common cause of vulval symptomatology. Chronic rubbing and friction lead to thickening of the epithelium (histologically acanthosis).
An Atlas of Vulval Diseases: A Combined Dermatological, Gynaecological and Venereological Approach by Michèle Leibowitch, Richard Staughton, Sallie Neill, Simon Barton, Roger Marwood