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Endocrine and Metabolic Disorders and Disorders of Pigmentation

This eChapter is part of the Vulva and Vaginal Manual, and draws together two important areas associated with the treatment of diseases of the vulva and vagina: diseases cause by endocrine and metabolic disorders, and diseases caused by disorders of pigmentation. A range of disorders are described, including their clinical features, diagnosis and treatment, and this illustrated eChapter will be a valuable resource for anyone wishing to refresh their knowledge of this complex aspect of women’s health.

The author begins by describing the clinical features, diagnosis and treatment of both disorders of excess estrogen and estrogen deficiency, including precocious puberty. Adrenocortical syndromes (such as Addison’s disease), iatrogenic virilisation and the glucagonoma syndromes are also examined, with photographs provided to illustrate key characteristics of the disorders. The author then progresses to discuss Acanthosis nigricans (AN), with particular emphasis on its pathology. Disorders such as dermatitis eneteropathica that are mediated by zinc deficiency are then reviewed, as are amyloidosis and ligneous vagainits, with both topics supported by copious photographs of related histopathology. The eChapter then covers calcinosis, verruciform xanthoma and hypopigmentation before progressing to vitiligo, which affects about 1% of the population and has generally has a familial lineage. The eChapter concludes with an illustrated description of hyperpigmentation, or, as it is referred to by gynecologists, pigment incontinence.

This eChapter forms part of the Ausmed publication The Vulva and Vaginal Manual, edited by Graeme Dennerstein, James Scurry, John Brenan, David Allen and Maria-Grazia Marin. A richly illustrated and comprehensive guide to the identification and treatment of over 275 vulvovaginal diseases The Vulva and Vaginal Manual is an invaluable resource especially suitable for:

  • Gynecologists
  • Dermatologists
  • General Practitioners
  • Obstetricians
  • Midwives
  • General nurses
  • Practice nurses
  • Nurse Practitioners

There are also 14 additional eChapters from The Vulva and Vaginal Manual available for members to download from the Ausmed website. Subscription also entitles members to access the full range of resources that compliment and build upon the material described within The Vulva and Vaginal Manual, including a richly populated catalogue of Audio Lectures, Fast Facts and Video Learning Activities on the topics of gynecology, obstetrics, oncology, women’s health and a wide range of other healthcare topics. Both members and non-subscribers alike may also purchase a hard copy of this book from the Ausmed Education Online Bookstore, along with hard copies of the complimentary publication Gynecological Cancer Care: A Guide to Practice.

Contents include

  • Disorders caused by estrogen excess and estrogen deficiency
  • Adrenal insufficiency and hyperactivity
  • Disorders associated with the production of insulin
  • Calcium related disorders
  • Copious histology and illustrative images
  • Benign and malignant diseases of pigmentation.
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Author / Editor Biographies

John Brenan is a dermatologist practicing in Melbourne. He is a past President of the Australian College of Dermatology, consultant dermatologist to the Mercy Hospital for Women and the original dermatologist for the Dermogynaecology Clinic.
David Allen is a certified gynaecological oncologist practicing at the Mercy Hospital for Women and the Peter MacCallum Cancer Centre, East Melbourne. He is an Associate Professor in the Department of Surgery at the University of Melbourne.
James Scurry is one of Australia's leading gynaecological pathologists. He is a pathologist in Newcastle, New South Wales.
Dr Dennerstein is an Obstetrician and Gynaecologist with medical expertise in the health of the vulva and vagina. He is the former Head of the Dermo-gynaecology Clinic at The Mercy Hospital for Women and co-author of the book entitled: The Vulva and Vagina Manual. He has lectured extensively on this topic, both internationally and nationally. Graeme has extensive experience in family planning and reproductive health. In 1971 he established the Family Planning and Infertility Clinic at the Western General Hospital in Melbourne, serving as its director until 1986. From 1980 to 1989 he was the ...
Grazia Marin is a psychologist in private practice in Melbourne and past committee member and Education Officer of the Victorian Psychosexual Society. She is also a member of the International Society for the Study of Vulvovaginal Diseases and is serving on its Patient Education and Sexual Difficulties committees.

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