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《2011年RCOG外陰皮膚疾病的處理》內容預覽

1. Purpose and scope
The aim of this guideline is to review the diagnosis and management of common vulval dermatoses seenin general gynaecological practice and the role of specialist training and support.
2. Introduction and background
Symptoms and signs of vulval skin disorders are common and include pruritus, pain and changes in skincolour and texture. Community-based surveys indicate that about one-fifth of women have significantvulval symptoms. In the hospital setting, common causes are dermatitis, lichen simplex, vulval candidiasis,lichen sclerosus and lichen planus. Lichen sclerosus accounts for at least 25% of the women seen indedicated vulval clinics, with estimates of incidence quoted as one in 300 to one in 1000 of all patientsreferred to dermatology departments.This guideline aims to provide an evidence-based framework forimproving the initial assessment and care of women with vulval disorders.This guidance is intended forthe general gynaecologist, with advice on when to refer to the specialist multidisciplinary team as themost efficient link to other services,such as a patch test clinic,psychosexual counsellors or reconstructivesurgeons. Details of individual skin conditions can be found in Appendix 2.Advice on general care of thevulval skin can be found in Appendix 3 and on training in Appendix 4.

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