| Autor: |
Sullivan, A. K., Straughair, G. J., Marwood, R. P., Staughton, R. C. D., Barton, S. E. |
| Předmět: |
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| Zdroj: |
Journal of the European Academy of Dermatology & Venereology; Jul99, Vol. 13 Issue 1, p36-40, 5p |
| Abstrakt: |
Objectives To characterise the new patient referrals to a combined vulva clinic and to assess the role of genitourinary services within the clinic. Methods A case note review of all new patients attending a monthly multidisciplinary vulva clinic over a 12-month period. Results The mean age of the 135 women was 43 years (range 18-816 years). The majority of patients. 64 (47%), were referred by their general practitioner (GP). Using nurse and physician triage 85 (63%) patients were seen by a dermatologist, 55 (41%) by a genitourinary medicine physician. 38 (28%) by a gynaecologist and six (4%) by a psychosexual physician. Fifty-one (38%). women required a consultation by at least two specialities. Itch was the most frequent presenting symptom (70%) and 59 (44%) women had experienced symptoms for between 6 months and 2 years. A previous STD screen had been performed in only 57 (42%). which was negative in 45 (79%). The most frequent initial clinical diagnoses were lichen sclerosus (35.26%). vaginal candidiasis (21.16%). vulvodynia (16.12%). lichen simplex chronicus (13.10%) and Bowenoid pupulosis (13.10%). Thirtyeight (28%) women had microbiological investigations revealing 13/135 (10%) had vaginal candidiasis and two (2%) bacterial vaginosis, all symptomatic. A biopsy was performed in 32 (24%) confirming the initial diagnosis in 20 (63%) Cases. Treatment was initiated in 101 (75%1 women: 62 (46%) were prescribed steroid cream. 46 (34%) emollient cream and 22 (16%) treatment for candida infection. Fifty-three (39%) women received more than one treatment, 94 (70%) patients were follwed-up in the vulval clinic, live (4%) in the genitourinary clinic and 12 (9%) by their GP. Conclusions Despite having genitourinary symptoms less than half the patients had been tested for infection prior to attending the clinic. More than a third of the patients. 46 (34%), were diagnosed with a genitourinary infection. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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