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Non-infections Dermatoses

There are a range of non-infectious dermatoses that can afflict the vulva and vagina. Although not infectious, a great deal of disease falls into this category. They can be extremely distressing, painful and can even have fatal outcomes. This eChapter from the Vulva and Vaginal Manual is a comprehensive review of these conditions, and uses high resolution imagery and histological slides to aid the description, pathophysiology, diagnosis and treatment guidelines that are provided by the author.

The author begins the eChapter with a description of spongiotic dermatitis, which is synonymous with eczema and characterized by dilatation of post-capillary venules in the papillary dermis and edema of the epidermis. The various types of spongiotic dermatitis are described, including contact dermatitis mediated by both primary irritants and contact with allergens, and the section concludes with atopic dermatitis.

The focus of the next section is psoriasiform dermatitis, which includes Lichen simplex chronicus, intertrigo, psoriasis and Reiter’s syndrome. This is followed by a section on lichenoid dermatitis, and describes conditions such as lichen sclerosis, which may be seen at any age except during the perinatal period (but is more common in the post-menopausal years), lichen planus, which is much more uncommon, and desquamative inflammatory vaginitis, amongst many others. Complex conditions such as lupus erythematosus and graft versus host disease are also described.

The final section of the eChapter reviews vesicobullous disorders such as pemphigus and it’s many variants,  and severe immune complex disease such as bullous erythema multiforme and toxic epidermal necrolysis. Granulatomatous disease and vasculopathic disorders conclude the eChapter.

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

  • The identification, pathophysiology diagnosis and treatment of various dermatological afflictions of the vulva and vagina
  • In depth descriptions of the causes of psoriasis and many other conditions
  • The use of histopathology and pathology to aid diagnosis
  • Uncommon but serious conditions such a desquamative inflammatory vaginitis and graft versus host disease
  • Copious illustrations and histopathology images
  • Non-infective dermatological conditions that can have fatal outcomes.
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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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